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THE FRIENDS OF TAYLORS ANIMAL REHOMING CENTRE

I wish to become a Friend of  Taylors Animal Rehoming Centre.  

I ENCLOSE A CHEQUE FOR _________ MEMBERSHIP CATEGORY (PLEASE TICK BOX)

ٱ INDIVIDUAL 8

ٱ UNDER 16 6

ٱ OVER 60 6

ٱ JOINT (TWO PEOPLE AT ONE ADDRESS) 12

ٱ FAMILY (UP TO FIVE PERSONS AT ONE ADDRESS, PLEASE PROVIDE ALL NAMES AND AGES IF UNDER 16 OR OVER 60) 20

ٱ LIFE 100 (PLEASE TICK IF UNDER  16 OR OVER  60 )

THESE AMOUNTS ARE ALL MINIMUM DONATIONS, IF YOU CAN AFFORD A LITTLE MORE IT WOULD BE VERY GRATEFULLY RECEIVED

NAME

ADDRESS

 

EMAIL

TELEPHONE  

DATE

Please make cheques payable to RSPCA West Dorset Branch or complete the following Standing Order Form.  If you are able to pay by Standing Order more of your money will go directly to help the animals at Taylors.  You may cancel the Standing Order at any time.

PLEASE PRINT AND COMPLETE THIS FORM AND RETURN TO

FRIENDS OF TAYLORS ANIMAL REHOMING CENTRE,

RSPCA WEST DORSET BRANCH,

PO BOX 5460,

WEYMOUTH,

DT3 6WH                      (NOT TO YOUR BANK)

If you are a UK Taxpayer we can reclaim the tax paid on your donation. Please complete the box below and your donation will be worth nearly 30% more at no extra cost to yourself.

I CONFIRM THAT I PAY INCOME TAX IN THE UK.  I WISH THE RSPCA TO RECLAIM  TAX ON MY DONATION OF

................ 

DATE         /        /         (Not valid if undated)

STANDING ORDER MANDATE

NAME OF YOUR BANK / BUILDING SOCIETY

______________________________________________________

ADDRESS OF YOUR BANK / BUILDING SOCIETY BRANCH

______________________________________________________

______________________________________________________

______________________________________________________

PLEASE PAY NATWEST BANK PLC, BRIDPORT BRANCH,

ACCOUNT No. ______________  SORT CODE ____-____-____

FOR THE CREDIT OF RSPCA WEST DORSET BRANCH

THE SUM OF (FIGURES) ______________________________

THE SUM OF (WORDS)  _______________________________

COMMENCING (DATE OF FIRST PAYMENT) ________________

AND THEREAFTER EVERY MONTH  (OR) YEAR   (PLEASE DELETE ONE)

UNTIL FURTHER NOTICE IN WRITING.

PLEASE DEBIT MY ACCOUNT ACCORDINGLY

NAME OF ACCOUNT TO BE DEBITED ______________________

ACCOUNT NUMBER  ___________________________________

SORT CODE  _________________________________________

NAME  _______________________________________________

SIGNED  _____________________________________________

DATE   ______________________________________________