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I wish to enroll as a Top Man in The 1805 Club and pledge £100 each year for the next five years, with payment due on the anniversary of the first £100. In return my name will be entered onto to the Top Men Roll of Honour.
Title
Name
Home address
Post code
Tel
Email address
This information shall be kept safe and shall not be used for any other purpose than communication with the Top Men group of members and supporters. The information is subject to the Data Protection Act, which protects you from abuse of data provided. I agree by the provision of my contact information to allow my name and email address to become part of a data base for the purpose of communicating with each other on the progress of The 1805 Club’s Top Men scheme for the conservation of memorials to Georgian naval heroes.
Signature:
Date:
Gift Aid declaration. The Government’s Gift Aid scheme means charities can reclaim tax on all gifts (25p of tax on every £1 you give). All you have to do is fill in this form. It will increase any further donations you make to The 1805 Club by a significant amount, at no extra cost to yourself, providing you are a UK tax payer. I wish The 1805 Club to treat all donations I make as from the date of this declaration until I notify you otherwise as Gift Aid Donations.