CAS - Membership Form

CAS - Membership Form

www.chepstow.org.uk

Chepstow Archaeological Society

www.chepstow.org.uk

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CAS does not have an electronic subscription facility yet.
Please print, complete and post the completed form and your cheque to the Hon. Treasurer.

Colin Harris
Hon. Treasurer, C.A.S.,
9 Lilac Drive
MONMOUTH
NP25 5DY

Click to open or download
CAS Brochure 2006.pdf (Acrobat)
CAS Brochure 2006.doc (Word)
added November 2003 updated Oct 2006

I/We* would like to apply for/renew* membership of CAS
* Delete as applicable

Type of Membership
	£ 12.00 Ordinary
	£ 15.00 Family
	£ 6.00 Student/Retired
	£ 12.00 Retired Family
	£ 15.00 Institution/Corporate Associate
I /We enclose a cheque made payable to The Chepstow Archaeological Society for

Name

Address

Town

County

Country

Post Code

Telephone

Fax

GIFT AID DECLARATION
I am a UK taxpayer and I would like tax to be reclaimed through the Gift Aid scheme on all my donations since 6 April 2000/* until I notify the Chepstow Archaeological Society otherwise. I note that I must pay an amount of income tax or capital gains tax at least equal to the tax reclaimed on donations.

(* or insert year you started paying tax. Sadly, if you don’t pay tax you can’t sign up to Gift Aid.)

Signature

Date

www.chepstow.org.uk

Chepstow Archaeological Society

www.chepstow.org.uk

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TO CONTACT US:

Colin Harris
Hon. Treasurer, C.A.S.,
9 Lilac Drive
MONMOUTH
NP25 5DY

C.A.S. Chairman:
C.A.S. Administration: