SCARBOROUGH MARITIME HERITAGE CENTRE

MEMBERSHIP FORM

Mr/Mrs/Ms/Other (please circle).
First name:..........................................................
Family name:.......................................................
Company name:.................................................
First name:........................................................
Address:..............................................................
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Post Code:.........................................................
Email:................................................................
Telephone:.........................................................
Date:.................................................................


Annual Membership Fees, April 1st to March 31st: Five pounds per person

Voluntary Donation ...........

I enclose a cheque payable to the Scarborough Maritime Heritage Centre for ............

If you pay income tax please complete the declaration below so we can reclaim the tax you have paid on your donation. To qualify you must have paid at least as much income tax as the value of the donation you have made.

GIFT AID DECLARATION -

I am a UK tax payer and I request that every donation I have made in the past six years and all donations I make from the date of this declaration are treated as Gift Aid Donations until further notice.

Signature................

Date.......................

Registered Charity 1144532

Please post this to Scarborough Maritime Heritage Centre, 36a Eastborough, Scarborough, YO11 1NJ,