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EPBPG MEMBERSHIP APPLICATION FORM
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Name.

Address

Postcode

Telephone

Email

I wish to join the EPB Preservation Group at the following rate (Please circle applicable rate)

Ordinary (1 Year) £22

Concessions (1 Year) £18

To comply with Data protection regulations please tick both sentences to opt in to the following;

(       ) I agree to receiving group notifications by email.

(       ) I agree to receiving subscription renewal forms and reminders by email.

I enclose a cheque/postal order payable to the EPB Preservation Group

for £________, including an optional donation of £_________.

I wish to make regular donations via standing order (tick here) ________ (we will contact you with further details)

GIFT AID If you pay income or capital gains tax in the UK the EPB Preservation Group (charity 1132225) can claim gift aid on donations and subscriptions, increasing their value to us by 25%. Please sign and date below to enable us to do this at no cost to yourself.

Signed_____________________________ Date______________

Please post completed form to EPBPG Membership , 25 Amber Close, Earley, Reading. Berkshire. RG6 7ED.

We can also accept payment via BACS bank transfer, please email the membership secretary for further details.

Form updated 10th May 2022