Name: Surname:__________________________FirstNames:____________________________________
Address:_________________________________________________________________________
_________________________________________________________________________
Post Code:___________Telephone:___________________Email:___________________________________
Address:_________________________________________________________________________
_________________________________________________________________________
Post Code:___________Telephone:___________________Email:___________________________________
Details of Service: Battalion: _________________________________Coy:__________________________
Duration: From:__________________To:______________Rank Held:______________________________
Decorations/Awards:__________________________Regimental or personal number:________________
Duration: From:__________________To:______________Rank Held:______________________________
Decorations/Awards:__________________________Regimental or personal number:________________
I wish to become a member of the Association .I support the aims and objectives of the Association and agree to comply with
the Rules of the Association.
I enclose a fee of £5 for Life Membership. Cheques to be made payable to: Mercian Volunteers Regimental Association.
Signed Date:
If you are a UK taxpayer and you complete the declaration below.The Mercian Volunteers Regimental Association will be
able to reclaim the tax on your donation ,at no expense to yourself.The value of your contribution will be increased by 28%.
Mercian Volunteers Regimental Association
Registered Charity number 281605
the Rules of the Association.
I enclose a fee of £5 for Life Membership. Cheques to be made payable to: Mercian Volunteers Regimental Association.
Signed Date:
If you are a UK taxpayer and you complete the declaration below.The Mercian Volunteers Regimental Association will be
able to reclaim the tax on your donation ,at no expense to yourself.The value of your contribution will be increased by 28%.
Mercian Volunteers Regimental Association
Registered Charity number 281605
I wish all donations I have made since 6th April 2000 and all donations I make hereafter to be regarded as Gift Aid donations
until further notice.I know that I must pay an amount of income tax or capital gains tax at least equal to the tax the Mercian
Volunteers Association reclaims on my donations in the tax year,
until further notice.I know that I must pay an amount of income tax or capital gains tax at least equal to the tax the Mercian
Volunteers Association reclaims on my donations in the tax year,
Name
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Address...............................................................................................................................................................................
Date....................................................Signature................................................................................................................
(capitals)..............................................................................................................................................................................
Address...............................................................................................................................................................................
Date....................................................Signature................................................................................................................
Please print form complete and post to The Secretary, Mercian Volunteers Regimental Association, 6 The Village. Kingswinford. DY68AY. Telephone: 01384-822135 E-Mail khjeavons@blueyonder.co.uk