SEAFORD & BISHOPSTONE NEIGHBOURHOOD WATCH ASSOCIATION

Registered Charity No 295228

ANNUAL SUBSCRIPTIONS FOR 2010

(Covers period from 2010 AGM in March to the 2011 AGM)
                   
Name :
Address :  
Post Code: BN25
SUBSCRIPTIONS

Please tick as appropriate		    Cash     □
         or
   Cheque  □		    Resident Family £2:00     □
                  or
Senior Citizens/ Family £1:00 □
You may donate a larger amount if you wish to  £………..
Converting your Subscription to a Gift Aid Donation will generate an additional 28p per £1:00 for the Association.
If you would like to treat your Subscription as Gift Aid, please would you tick the relevant boxes below and sign and date this form.
□  
I would like my Subscription to be treated as a Gift Aid Donation.
□  I have paid sufficient UK Income Tax during the year 2009 to cover the basic rate tax the Charity will reclaim.

Signed .............................................................. Date ............................

Please return this form and your Subscription/Donation to the Treasurer,
S&BNHWA, c/o Police Station,37, Church Street, Seaford,or to your local
Road Co-ordinator or by post to 93 Princess Drive, Seaford BN25 2QT.
Please enclose SAE if you require an acknowledgement.
Many thanks. Mark Brown CHAIRMAN