BIRSAY HERITAGE TRUST
 

Barony Mill, Birsay, Orkney, KW17 2LY

The organisation’s purposes are: The preservation of the historical, cultural and natural heritage of the parish of Birsay, Orkney. To further the education and knowledge of the public in the history, cultural, natural history and other features of life in the parish of Birsay, Orkney and anything connected with the parish.

Name(s)   _____________________________________________

Address ______________________________________________

            _______________________________________________

            _______________________________________________

            Postcode __________________

e-mail  _____________________________________

Telephone (optional) _________________     Mobile ______________________

Signature  _______________________                       Date  _______________________

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Membership Subscription (2014)

Please mark the type of membership you choose
O Individual Annual Membership      £  10.00                            O Family Membership      £ 15.00
O Individual Life Membership           £100.00                            O Student Membership     £   2.00

Membership becomes effective after approval by the Board of Birsay Heritage Trust. 
Annual subscriptions are to be renewed on or before 30 April each year. 

PAYMENT METHODS.  Please mark your choice(s)

   O  I would like to add a donation of £ .................. .
   O  I enclose a cheque for £ ................................... .   Please make cheques payable to Birsay Heritage Trust
   O  I would like to pay by Standing Order.    Please fill in the form below.
   O  I would like to play by PayPal 

If Desired, you may augment your donations by the following declaration.

Gift Aid Declaration
                I would like the Birsay Heritage Trust to treat my subscription and all other donations from 30 April 2014 until further notice as made under the Gift Act Scheme and to reclaim the tax on them.  I confirm that I am a UK taxpayer and pay  income/capital gains tax equal to or greater than the amount the Trust can reclaim on my donations. 

                Signature: ...................................................        Date:...............................

Please Print this part of the form and mail to the address given above.  Thank You.

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Standing Order Mandate.   Please fill in, detach, and send to your Bank or Building Society

To:    The Manager,                                                                           Your details:

Bank Name ...................................................                    Account Name(s) ...................................................

Address       ...................................................                      Account Number ...................................................

                    ...................................................                       Bank Sort Code  .....................................................

                 ................. Postcode ..............

Please pay Royal Bank of Scotland, Kirkwall Branch, Account No. 00151332, Sort Code 83-24-07, quoting

 reference: ( Please insert your name)............................................. ,  in the amount of £ .................(amount in words .......................................................................) commencing immediately, and annually on the 30 April in subsequent years until further notice.  This mandate supersedes any previous order in favour of the Trust.

                Signature ..................................................                          Date ................................................