HOS Membership Application Form
I/We wish to join HOS (please tick
category):
Membership runs from January to
December.
| Ordinary Member | £12.00 | |
| Joint/Family Members | £12.00 | |
| Junior Member (under 18) | £5.00 |
| Title | Initials |
| Surname | |
| Address
Postcode | |
| Date of birth (Junior Members under 18): | |
| Signed: | Signature of parent or guardian if Junior |
Important: Please also fill out the Gift Aid declaration below
Method of Payment
Payment by cheque only please (made payable to Hampshire Ornithological
Society). Sorry, we cannot accept credit cards and do not operate a Direct Debit
scheme. A standing order form will be enclosed with your membership pack in case
you wish to renew using this method.
Data Protection
Membership records are held on a computer and are covered by the Data
Protection Act. The records are kept strictly confidential by the Society and
are not made available to third parties.
Gift Aid Declaration to
HOS
If you are a taxpayer we can increase the value
of your subscription by £3 by reclaiming tax from the Inland Revenue. Please
help us by signing the declaration below.
| I wish HOS (Charity No. 1042309) to reclaim tax on my subscription and all subsequent donations and subscriptions I make to the Society. |
| Print FULL name: |
| Signature: |
| Date: |
| For office use: | Recd | Sent | Code |
Please return form to:
Kay Shillitoe, ‘Westerley’, Hundred Acres Road, Wickham, PO17 6HY.