Application Fax to join The Vegetarian Society of the UK

Application Fax to join
The Vegetarian Society of the UK

Please print out the form, fill-out then fax to: 0161 926 9182
The Membership Team, The Vegetarian Society, Parkdale, Dunham Road, Altrincham, WA14 4QG

Name (Ms/Mrs/Miss/Mr)

Address

Postcode

Telephone No.

e-mail Address:

Date of Birth:

[ ] I am vegan
[ ]I am vegetarian. I never eat meat, poultry or fish
[ ] I am not currently a vegetarian (you will be enrolled as an associate member)

HOW TO PAY -
(direct debits can only be accepted by post)

Please charge my Mastercard/Visa/Amex/Switch
Card No.

Issue No. (Switch only)

Expiry date

Valid from date

Name on Card

Signature

Please tick if you do not wish to receive information about:
[ ] the Vegetarian Society's range of services
[ ] information from other carefully selected charities
[ ] special offers from vegetarian-friendly companies

Adult Membership
[ ] Full - £21 annually
[ ] Student / Unwaged / Senior Citizen - £16 annually

Junior Membership
£10 annually
[ ]Twiggy Club age 10 and under
[ ]Team Veggie age 11-16

Family Membership
(Please advise names and dates of birth of all family members)
[ ] £26 annually

Name . . . . . . . . . . . . Date
of Birth

Life Membership
[ ] £300
[ ] Senior Citizen only £180

Overseas membership
[ ] Europe add £7 postage, rest of the world add £10 postage

I would like to make a donation to help the Society's valuable campaign work
[ ] £5 [ ] £12 [ ] £25 [ ] £50 [ ] Other

Gift Aid Declaration
I would like The Vegetarian Society (reg charity number 259358) to treat all my donations made since 6 April 2000, and from the date of this declaration until I notify you otherwise, as Gift Aid.

[ ] Please tick if, the amount of income tax and/or capital gains tax you pay is at least equal to the tax that the charity will reclaim on your donations in the tax year. (Currently 28p for each £1 you give)

[ ] Please tick if you are not a UK income tax or capital gains taxpayer or if the amount of tax you pay is not at least equal to that which the charity will reclaim.
Signature/Date:

Many thanks for your support

The Vegetarian Society of the United Kingdom
Registered Office: Parkdale, Dunham Road, Altrincham, Cheshire, England WA14 4QG

Registered Charity no. 259358 Registered company no. 959115