FRIENDS OF THE NATIONAL MUSEUM OF THE ROYAL NAVY AND HMS VICTORY
I / We wish to apply for the following membership category (please place a cross in the appropriate box)
Single Annual - £20 or more
Single Life - £200 or more
Joint Annual £25 or more
Joint Life - £275 or more
Full names and titles
Address and Post
Code
E-mail Address
Contact Telephone
No
SIGNATURE
DATE
DATA PROTECTION ACT - The Friends may use your data to post Scuttlebutt and other information to you where possible.
If you DO NOT wish your e-mail or telephone numbers to be retained on the database, please place a cross in the appropriate
boxes above. The Friends will not divulge any personal data to third parties.
GIFT AID - If you pay tax in the United Kingdom, your subscriptions and any further donations to the Friends are eligible for
Gift Aid. This will greatly enhance your giving to the charity at no additional cost to you. Please confirm by putting a cross in
the corresponding box:
I declare that all donations made by me to the Friends are to be treated as Gift Aid donations
2.
I confirm that I pay income or capital gains tax in the UK
SIGNATURE
DATE
BANKERS ORDER - Please complete the following bankers order. This will cover your first and subsequent
years subscriptions. Alternatively you may send a cheque made payable to ‘The Friends of the RN Museum and
HMS Victory.
Please pay to the Friends of the RN Museum and HMS Victory
Sort Code: 16-19-28 Account No: 10049576
Royal Bank of Scotland PLC, 1-2 Westquay House, 20 West Street, Fareham, PO16 0LH
Name and address of
Member’s bank
Sort Code:
Account No:
Amount:
£
Date:
And annually thereafter on the same day until further notice or until cancelled by me.
Members full name in capitals
Members Address and post code
SIGNATURE
DATE
Please complete, print and sign this form (where applicable) and send to:
Roger Trise, Executive Secretary, Friends of RN Museum and HMS Victory, 35 Sutton Road,
Waterlooville, Hants. PO8 8PU.