NAME ....................................................................................Mr / Mrs / Miss / Dr / Other

ADDRESS ........................................................................................................................................

................................................................................... POST CODE .................................................

TEL/FAX NO............................Email address.....................………….............................................

I enclose my subscription of £12 plus a donation of £............. payable to Sevington School Project to become a supporter/renew my support. (If you are joining the 100 Club, please note that your £12 cheque for that should be made out to Sevington School Project 100 Club.)

GIFT AID DECLARATION

I am a taxpayer and I wish the Sevington School Project to treat as Gift Aid any subscription or other donation I have made since 6th April 2000 and to continue to do so until further notice.

Signed ......................................................................... Date ........................................

Please send to:

Mrs Richenda George, Membership Secretary, Sevington School Project
'Martlets', Ogbourne St George, Marlborough, Wiltshire SN8 1SL