Annual membership from 1^st January to 31^st December

NAME……………………………………………………Mr/Mrs/Miss/Ms/Title…………

ADDRESS…………………………………………………………………………………

…………………………………………………………Post Code………………………

PHONE NUMBER……………………………………E-MAIL……………………………

Date…………………………………

GIFT AID DECLARATION

If you are a UK tax payer please GIFT AID your subscription by signing again below.
This enables us to reclaim the tax direct from the Inland Revenue at no cost or
inconvenience to your self and provides an extremely valuable source of income to the Society.

I am a UK tax payer and wish all my subscription from the date of this declaration to be
treated as GIFT AID until I notify you otherwise.

Signature…………………………………………… Date…………………………………

Make cheques payable to CVAHS

With the compliments of the Membership Secretary: Brian Smith
Address: 12 Pump Meadow, Great Missenden, Bucks, HP16 9BB.

Any member joining after October 1^st receives free membership for the following calendar year.