| Your Full Name: |
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Address:
(including postcode) |
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Please tick one box:
| [ ] | IT IS NOT APPROPRIATE FOR THE SOCIETY TO RECLAIM TAX on my
subscription to the Society or any donation I may make to it.
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| [ ] | IT IS APPROPRIATE FOR THE SOCIETY TO RECLAIM TAX on my subscription to
the Society and any donation I make to it in the current and all subsequent
tax years.
I confirm I currently pay an amount of income tax and/or capital gains tax at
least equal to the tax the Society reclaims in each tax year. I understand I
must tell the Society if I no longer pay sufficient income tax and/or capital
gains tax to allow the Society to reclaim tax on any future subscription or
donation.
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| Signature: |
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Date: |
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This form should be completed in ink and posted to: Rose
Cottage, Malthouse Lane, Hurstpierpoint, West Sussex, BN6 9JY.
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