FRIENDS OF KEMPLEY CHURCHES
Title: Mr / Mrs / Miss / Ms / Other __________
Registered Charity No. 1108735
First Name _______________ Surname ___________________
DONATION/MEMBERSHIP APPLICATION FORM
Address _____________________________________________
The Friends of Kempley Churches work with English Heritage to
care for St Mary’s and support the Parochial Church Council to help
maintain St Edward’s.
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_________________________ Post Code _________________
The aim of the Friends is to advance public education through the
promotion, encouragement, development and dissemination of
knowledge of the history, heritage and environment of the churches
of Kempley and the involvement of the churches with villagers and
other residents of the surrounding area. The furtherance of religion
by the provision of financial assistance for the churches and to
liaise appropriately with English Heritage concerning the structure,
contents and environment of St Mary’s Church.
The funds raised by the Friends are devoted exclusively to the
maintenance of the Church buildings, their fabric, fittings and
furnishings, and of the churchyards. The exception to this is the
public liability insurance required to hold services at St Mary’s. The
funds will not be used for the diocesan quota or running costs.
If you would like to make a donation or join The Friends of Kempley
Churches please complete this form.
Use Gift Aid and you can make your donation/membership worth
more. For every pound you give us we get an extra 25 pence
from the Inland Revenue. So just tick here, it’s that simple.
To qualify for Gift Aid, what you pay in income tax or capital gains tax
must at least equal the amount we will claim in the tax year.
Email address ________________________________________
Please choose one of the following options:

Membership (minimum) of £10.00 per annum.

Life Membership £100

Donation*
I enclose my donation subscription of £__________
* You can also contribute using “Just Text Giving” on your mobile
phone. Text the code FOKC11 followed by the amount you wish to
donate (e.g. £10) to 70070. If you are a tax payer you can also add
GIFT AID to increase your donation. You will then receive a
receipt.
Signature
________________________________________
Date
________________________________________
Please make cheques payable to The Friends of Kempley
Churches.
Send completed form to:
The Membership Officer, Mrs S Molesworth, Brookside, Kempley,
Dymock, Gloucestershire GL18 2BS