Scottish Covenanter
Memorials Association

Enrolment Form
Print this page, fill it in and send it to the
Honorary Secretary.

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To the Honorary Secretary,
Scottish Covenanter Memorials Association.

Please enrol me as a member of the SCMA. I enclose my subscription of £______ to cover the cost of membership for one year from today's date, ______/_____/20____.

Name__________________________________________

Address________________________________________

______________________________________________

______________________________________________

Postcode_______________________________________

Telephone______________________________________

Email__________________________________________

Current membership rate is only £5.00 per annum. This is a minimum rate. Fortunately many members pay appreciably more than the minimum.

Please help the Association at no extra cost to yourself by completing the Gift Aid form below.

Gift Aid Declaration
Scottish Charity No. SC021022

I am a UK taxpayer, and I agree to the Scottish Covenanter Memorials Association treating all such subscriptions and donations which I make from the date of this declaration as Gift Aid Donations, until I notify you otherwise.

Signature______________________________________

Date____/____/20____

Notes: You may cancel this declaration at any time by notifying the Association.
You must pay tax at least equal to the tax which the SCMA can reclaim on your behalf (currently 28p for each pound you give).
Please notify the SCMA if you change your name or address.

Send forms to:

Dane Love
Lochnoran House
Auchinleck
Ayrshire
KA18 3JW
Scotland