MEMBERSHIP APPLICATION FORM
    LANCASTER CANAL TRUST    REGISTERED CHARITY 1167020
AdulI/We wish to become members of the Lancaster Canal Trust as
t £14..Joint £20….... Family £20…....  Life  £180…....Corporate £14…….        Please tick appropriate category.
Optional additional donation   £…………….                                            Total Remittance £…………………..
                                                                  BLOCK CAPITALS PLEASE
Title………. Forename……………………………………….  Surname ………………………………………………………
Address ………………………………………………………………………………………………………………………….
            …………………………………………………………………………….………..Post Code …………………………
Phone…………………………….   Email please write clearly…………………………………………………………………
Please consider a Bankers Standing Order for your annual subscription.
Your Bank………………………………………………………………………………………………………………………
………………………………………………………………………………………Post code…………………………………
Please quote your surname and initial  as your reference.          Date………………………………………………………..
Please pay CAF Bank  40-52-40 for the credit of  The Lancaster Canal Trust  00020897 the sum of £…………….
and on the same date each year thereafer.   Signature..............................................  Date.......................................
PLEASE CONSIDER TAXPAYERS GIFT AID
I wish to have this and any other payments made by me to the Trust to be treated as Gift Aid, please tick here ……
I am a UK taxpayerf I pay less  Income Tax or Capital Gains Tax than the amount of Gift Aid claimed on all my
donations in that tax year it is my responsibility to pay any difference. Please notify the charity if you wish to
cancel this declaration, change your name or address, no longer pay sufficient tax on your income and or Capital Gains,
if you pay income tax at the higher or additional rate and want to receice the additional tax relie fdue to you, you must
include all your gift aid donationson your Self Assessment  tax return orask HMRC to adjust your code.
 

MEMBERSHIP APPLICATION FORM
    LANCASTER CANAL TRUST    REGISTERED CHARITY 1167020
AdulI/We wish to become members of the Lancaster Canal Trust as
t £14..Joint £20….... Family £20…....  Life  £180…....Corporate £14…….        Please tick appropriate category.
Optional additional donation   £…………….                                            Total Remittance £…………………..
                                                                  BLOCK CAPITALS PLEASE
Title………. Forename……………………………………….  Surname ………………………………………………………
Address ………………………………………………………………………………………………………………………….
            …………………………………………………………………………….………..Post Code …………………………
Phone…………………………….   Email please write clearly…………………………………………………………………
Please consider a Bankers Standing Order for your annual subscription.
Your Bank………………………………………………………………………………………………………………………
………………………………………………………………………………………Post code…………………………………
Please quote your surname and initial  as your reference.          Date………………………………………………………..
Please pay CAF Bank  40-52-40 for the credit of  The Lancaster Canal Trust  00020897 the sum of £…………….
and on the same date each year thereafer.   Signature..............................................  Date.......................................
PLEASE CONSIDER TAXPAYERS GIFT AID
I wish to have this and any other payments made by me to the Trust to be treated as Gift Aid, please tick here ……
I am a UK taxpayerf I pay less  Income Tax or Capital Gains Tax than the amount of Gift Aid claimed on all my
donations in that tax year it is my responsibility to pay any difference. Please notify the charity if you wish to
cancel this declaration, change your name or address, no longer pay sufficient tax on your income and or Capital Gains,
if you pay income tax at the higher or additional rate and want to receice the additional tax relie fdue to you, you must
include all your gift aid donationson your Self Assessment  tax return orask HMRC to adjust your code.