Greenwich & Bexley Cottage Hospice

Friends of the Hospice – Membership Application Form

Please print and complete this form, and return it, together with your subscription, to the Freepost address below.

Title (Mr/Mrs/Ms/Miss)     ________________________________

Surname                       ________________________________

First Name(s)                 ________________________________

Your address                 ________________________________

                                  ________________________________

Postcode                      ________________________________

Country                        ________________________________

Email address                ________________________________

Subscription Rates – Adult £81, Retired Individual £51

Please make cheques payable to “Greenwich & Bexley Cottage Hospice”

Make your subscription worth more at no extra cost to you.

Using Gift Aid means that for every pound you give, Greenwich & Bexley Cottage Hospice get an extra 28.2 pence from the Inland Revenue. - helping your donation go further.

This means, for example, that £5 can be turned into £6.41, just so long as donations are made through Gift Aid. Imagine what a difference that could make and it doesn't cost you a thing. So if you want your donation to go further, Gift Aid it by ‘ticking' the box below.

GIFT AID my Donation 1

I want all donations I've made to Greenwich & Bexley Cottage Hospice since 6 th April 2000 and all donations in the future to be Gift Aid until I notify you otherwise.

To qualify for Gift Aid what you pay in income tax or capital gains tax must at least equal the amount we will claim in the tax year.

Signed    _______________________ Date_________________________

Please return to:   Greenwich & Bexley Cottage Hospice

                          Fundraising Department

                          FREEPOST LON 15994

                          London

                          SE2 0BR

                           THANK YOU