Pay by cheque — Untitled

Paying by cheque

That’s great, thank you. Please make your cheque out to, “Blakeney Harbour Association” and send to:

Helen Ward, The Boathouse, Morston, Nr Holt, Norfolk, NR25 7AA with your name on the reverse.

Please fill in the form adjacent so we have all your details when the cheque arrives.

Membership required:

Individual Membership (suggested donation £25)

Family Membership (suggested donation £40)

Corporate Membership (Minimum £50)

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number

Boat name(s)

Optional, separate with commas

Amount

Gift Aid - Boost your donation by 25%

I want to Gift Aid my donation and any donations I make in the future or have made in the past 4 years to Blakeney Harbour Association. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference. Please notify the charity if you want to cancel this declaration, change your name or home address or no longer pay sufficient tax on your income and/or capital gains. If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.