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

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

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

TEL NO............................Email address.....................………….............................................

I enclose my subscription of £14 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 £14 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:

Membership Secretary
Sevington Victorian School
Sevington
Grittleton
Chippenham
Wiltshire
SN14 7LD