Stocksfield Community Association Membership Form

I/We wish to join/renew membership of SCA as:

Individual £8.00 Couples £10.00

Individual over 60 £6.00 Couples over 60 £8.00

Family £11.00

NAME……………………………………………………………..

ADDRESS…………………………………………………………

……………………………………………………………………..

POSTCODE………………… TELEPHONE .………………..

A monthly magazine (SCAN) is delivered free to all members living
within the village, but members living outside of Stocksfield may collect

their copy from the SCA Office or arrange for postal delivery.

I/We enclose the sum of £……... as payment of the SCA membership

for the year September 2011 – August 2012 (Cheques should be made

payable to Stocksfield Community Association).

If you wish to receive SCAN by post, please include an additional £4.00 to cover postage for the year.

GIFT AID DECLARATION

Stocksfield Community Association (Charity number 1139996)

Please treat the enclosed payment of £………. as a Gift Aid payment and all payments that I have made in the past six years and all future payments that I make from the date of this declaration as Gift Aid subscriptions/donations.

You must pay an amount of income tax and/or capital gains tax for each tax year

(6th April one year to 5th April next year) that is equal to the tax that Stocksfield Community Association will reclaim on your membership for that year.

Signed…………………………….. Dated………………………..

If you belong to a SCA Section, please indicate which one(s) below:

Badminton (Monday afternoon) Stocksfield Playgroup

Badminton (Monday evening) Computing

Badminton (Thursday evening) Plants and Gardens

Please return this form to: Membership Secretary, Stocksfield Community Association, Mount View Terrace, Stocksfield NE43 7HL

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