Membership Form

Lindfield Preservation Society.

Registered Charity No. 237439

Promoting and encouraging the preservation and sensitive development of the village.


Membership Subscription/Donation Form
(further copies available on request or can be printed from this page)

Name(s)…………………………………………………………………Date………

Address…………………………………………………………………………………
………………………………………………………………………………………….

Annual membership due 1st January (Individual £5, Household £10)………

Life Membership (£50)……………………………………………………………………

Donation…………………………………………………………………………………..

TOTAL ENCLOSED……………………………….

Gift Aid:
If you are a UK taxpayer, under the Government’s Gift Aid scheme The Society can claim the tax you
have already paid on your subscription or donation. This means that it can increase in value at no extra
cost to you.
I confirm that I pay Income Tax and/or Capital Gains Tax at least equivalent to the tax which you
reclaim on my payment (currently 25p+ 3p transitional relief  for every £1 you give)

(Signed)…………………………………….

Cheques should be made payable to ‘Lindfield Preservation Society’ and sent with
this form to the Membership Secretary, Jean Gorman, Lyndhurst, Hickmans
Lane, Lindfield, West Sussex RH16 2PX.  (If your payment is other than a
Donation, it would be appreciated if you enclosed a SAE for your Membership Card).

Your e-mail address for communications via e-mail:

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