APPLICATION FOR MEMBERSHIP

To become a friend just print out this form and send it to:

Charmouth Heritage Coast Centre, Lower Sea Lane,
Charmouth, Dorset, DT6 6LL, UK.

Title: ........... First Name........................................... Family Name.............................................

Address: .............................................................................................................................................................

.............................................................................................................................................................

Telephone number:........................................................................

A. Associate Member

My donation for the year is (minimum £5.00)…………………
(Cheques should be made payable to 'Charmouth Heritage Coast Centre')

Help us make the most of your donation. If you are a UK taxpayer you can enable the Friends to reclaim from the Inland Revenue the Income Tax that you have already paid on your donation. This will increase your donation by almost one third at no cost to yourself. All we need is for you to sign the declaration below.

'I am a UK taxpayer and would like Charmouth Heritage Coast Centre to treat all donations that I make to the charity after 6 April 2000 as Gift Aid donations. I am currently paying UK income tax or capital gains tax that is equal to or more than the tax reclaimed by the charity on my donations.'

Signature: ....................................................................................

Full name: ....................................................................................

Date: ......................

B. Working Member

We are always happy to welcome new faces to the varied aspects of work within the Centre. If you are interested in helping the Centre in other ways than giving money please give us a ring on 01297 560772 and the Wardens will be very happy to talk to you about ways in which you can become a valuable member of our team.