Membership Application and Gift Aid Form

In joining CIP I declare my faith in Jesus Christ the Son of God, as my Saviour and Lord, and my sympathy with the CIP Mission Statement.

CIP depends on God and its membership for financial support. An Annual Subscription is optional. We do wish to encourage new and existing members to consider the use of Standing Orders to spread the cost and help future planning. Please see the form overleaf.

·         I will be setting up a Standing Order for £                 per month/year

·         I enclose £                  for one year’s subscription (optional).
(The suggested amount is £30 p.a. Cheques payable to “PSCF”))

 NAME………………………………………………………………………………………………..

ADDRESS…………………………………………………………………………………………...

……………………………………………………………………………………………….………..

POSTCODE...................................…………………………….…

Phone Home: ............…………………………………………..…

Work: …………………………………………………………….….

Email: ………………………………………………………….……

OCCUPATION ................................……………………….……..

SIGNED...............................….…….. DATE……………………..

 

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To GIFT AID your donation please sign below

I would like the Probation Service Christian Fellowship (Registered Charity No. 1059037) to treat as Gift Aid all donations made by me since April 2000, and all donations from the date of this declaration until I notify otherwise. I am a current UK taxpayer.

SIGNED ...............................….…………….. DATE ………………….……

Please post completed application form and donation to:-

 Roger Sammons, Membership Secretary,

21 Victoria Crescent, Alnwick, Northumberland, NE66 1RQ

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STANDING ORDER FORM

 To the Manager   

 …………………………………Bank   (donors bank)

 

Address………………………………………………………………………..

 

…………………………………………………………………………………..

 

…………………………….….. Postcode

 

From:-

 Account holder (name as on cheques)

 

…………………………………………………………………………...………

 

Account Number…………………..………  Branch code ………….………

 Address ………………………………………………………………..……….

 …………………………………………………………………………...………

 ……………………………………Postcode

 Please pay to the account of the Probation Service Christian Fellowship

at the Royal Bank of Scotland   

Branch code : 16-23-21

Bank Account No: 10211064                   

 The sum of (in writing) ………………………….…..….…………………… (£…………..)

 on  …….……………  (date) 

 * and monthly thereafter on ……..(day number)  day of each Month until further notice

OR

* and annually thereafter on the  …………………(day & month) of each year until further notice

* Please delete according to frequency of payment

 Signed …………………………………………

 Print name ………………………………….…

 PLEASE SEND THIS FORM TO YOUR BANK