Chester Archaeological Society crest 
Chester Archaeological Society 
Registered Charity No 1068062 
Membership Application Form

All subscriptions are due and payable on 1st January each year. 
I/We wish to become (a) member/s of the Society and enclose a first annual subscription of £ ................. or a completed Banker's Order form.  

NAME(s) (block capitals please) ...................................................................................................................................................................................... 

ADDRESS ............................................................................................................................................................................................................................ 

............................................................................................................................................................................................................................................

 
POSTCODE ...................................................................    DATE .............................................................................................................................  

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Bankers Order Form

To........................................................................................................    BANK ..................................................................................................................  

ADDRESS ............................................................................................................................................................................................................................. 
  
..........................................................................................................    POSTCODE ............................................................................................................. 

Please pay to the account of the Chester Archaeological Society at Lloyds TSB Bank, 8 Foregate Street, Chester CH1 1XP, Account No. 1048649 Sort Code 30-91-92,  the sum of £ ........... upon receipt of this Order and on 1st January of each year thereafter until further notice. 

SIGNED .............................................................................................  DATE ........................................................................................................................ 

ADDRESS .............................................................................................................................................................................................................................. 

.................................................................................................................................................................................................................................. 

POSTCODE .........................................................           ACCOUNT NO ................................................................................................................................ 

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Gift Aid Declaration 

I confirm that I would like all subscriptions/donations I make from the date of this declaration, until I notify you otherwise, to qualify under the Gift Aid Scheme. 

This declaration will enable the Chester Archaeological Society to reclaim tax on your subscription. For this to be done, you must pay Income Tax and/or Capital Gains Tax at least equal to the amount of tax that the Society recalims on your payments for the tax year (currently 28p for every £1 you give). 

SIGNED  ..............................................................................................  DATE ..................................................................................................................... 

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