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I apply for membership of LUPUS UK and enclose my cheque/p.o. payable to LUPUS UK
Title: Mr. Ms. Mrs ................... First name .........................................................
Surname:................................................... Membership fee: £...........
Address:.................................................... (plus donation if wished, thank you)
................................................................. £...........
................................................................. Total:£...........
Postcode: ....................................... Tel:............................................................
Annual Rates **both at same address
GIFT AID DECLARATION
Signature..........................................................................................
Date......................................................
I confirm I pay an amount of income tax and/or capital gains tax at least equal to the tax that the charity reclaims on my donations in the tax year (28p per 1)
I would also be interested in Volunteering Opportunities for LUPUS UK and/or my Regional Group
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PLEASE COMPLETE RELEVANT SECTIONS OF THIS FORM AND SEND TO:
