Wick Players Subscription Form 2010 - 2011
Name ……………………………………………………………………………
Address …………………………………………………………………………..
……………………………………………………………………………..
Postcode …………………
Tel ………………………
Email ……………………………………………
Please tick your preference for receiving club information E-mail ÿ Post ÿ
Please circle the appropriate fee:- Adult £7.00 Adult aged 60+ £5.00
Junior 5 – 16 or in Full Time Education £5.00
I enclose a cheque for £ …….. made payable to ‘Wick Players’ for membership in 2010/11
I understand that my details may be held on computer solely for the purpose of administering the membership list.
These details will not be passed to a third party. I give permission for the club secretary to contact me with matters
regarding Wick Players.
Please return this form with the fee payable to
Membership
Wick Players
14 Moray Street
WICK
KW1 5QF
Greatly increase the value of your membership fee by reading and signing the declaration below.
For every £1.00, we can claim back 28p approx. from HM Government.
Yes, I am a UK taxpayer and I would like Wick Players to treat all my Subscriptions from the date of my declaration,
until I notify you otherwise as Gift Aid.
DATE OF DECLARATION …………………………………..
SIGNED …………………………………………………………
THANK YOU FOR YOUR CONTINUED SUPPORT
Membership due by 30th September 2010
Sponsored by Old Pulteney, Highland Council, Scottish Arts Council
and The National Lottery