GIBSON LIBRARY SOCIETY MEMBERSHIP APPLICATION
(formerly Saffron Walden Town Library Society) Registered Charity No: 1084210
Your annual subscription runs to the 31st of March of the year after your payment is received.
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Name .....................................................
Email Address ..........................................
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Address ............................................................
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Post Code ................................
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I wish to renew/apply for membership of the Gibson Library Society and enclose my annual subscription of £7.00 plus a one-off donation. Please emake any cheques payable to "Gibson Library Society".
Total sum enclosed . . £......................
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Gift Aid Declaration
I wish to support the Gibson Library Society Charity and for you to treat all donations I make from the date of this declaration or notify you otherwise, as a Gift Aid Donation. (Delete Declaration if inapplicable.)
Signature (in all cases) ................................................................................... Date ....................................
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The Society's membership records are held in a database, and this information is used for maintaining subscriptions and as a record for mailing details of events organised by the Society or held in the Library. The records are not sold or given to any third party.
I confirm that the Society may contact me on Society-related matters ....... (please tick)
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Banker's Standing Order please set up on your own account online if possible
To (name of your bank) .......................................................Bank
Address .............................................................................................
......................................................................................................Post Code .................
Please Pay the Gibson Library Society the sum of £ ...........Amount in Words ............................ pounds - on receipt of this instruction and then on 1 April annually until further notice.
From: Account name(s)....................................................
From: Account No: ...................................................Sort Code:........-........-........
Signature....................................................................Date..................
Pay to Gibson Library Society Account:
Barclays Bank plc, 12a Market Place, Saffron Walden CB10 1HR
Sort Code 20-74-05, Account 70793833
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| This Form and subscription should be forwarded to: The Treasurer Gibson Library Society, Gibson Library, 2 King Street, Saffron Walden, Essex CB10 1ES
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