Swindon & Cricklade Railway

Senior Couple Membership Application or Renewal

Senior Couple Memberships are for a retired couple living at the same address. The couple will receive a membership card valid for both applicants, and they will receive one copy of each magazine.

If you are using this form to renew your membership,
please fill in the appropriate section below



NAME


NAME

ADDRESS



                                                                              POSTCODE


If you are existing members, tick here [  ]
If you know your membership number, please add it here


I ENCLOSE A CHEQUE / PO
FOR 12 MONTHS SENIOR COUPLE MEMBERSHIP.

SIGNATURE AN ADULT APPLICANT
Your details will be held in a database. This is to enable us to administer your membership. We will not pass on or reveal your details to any other organisation.

Senior Couple Membership Fee is £12.00 for UK membership, £17.00 if applicants' address is outside the UK. Additional fee is to cover overseas postage on the quarterly magazine. If paying in a non-Sterling currency, please send the amount corresponding to the Sterling exchange rate when you write your cheque.


GIFT AID. If the person paying for this membership is a UK taxpayer, as a Registered Charity we can collect an additional contribution from the Inland Revenue under the Gift Aid scheme. Please sign you name below if this is the case.

_________________________________ (signature) I confirm that I am a UK Taxpayer and that the above payment, and any other payments made to the Swindon & Cricklade Railway (e.g. membership renewals), are eligible for the Gift Aid scheme.



Please return this form with your remittance to The Membership Secretary, Swindon & Cricklade Railway, 31 Rose Street, Swindon SN2 2HH. Allow 28 days for processing.

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