Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * By ticking a box below you are confirming that you are consenting to the Friends of Northleach Church holding and processing your personal data for the following purposes (please tick the boxes where you grant consent):- I consent to the FONC contacting me by: Email Post To keep me informed about: FONC news and activities Events (concerts, talks etc) at Northleach Church Activities and Services in Northleach Benefice Please select membership required: £20 for individual annual membership £30 for joint annual membership* £250 for individual life membership £400 for joint life membership* * Two individuals living at the same address Payments I / We will send a cheque Will make an online payment Will set up a standing order Gift Aid To enable us to claim gift aid on your donation, which increases the value of your donation by 25%, please tick this statement: I want to Gift Aid the donation overleaf and any donation I make in the future. 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 donation in that tax year it is my responsibility to pay any difference. Payment details Friends of Northleach Church Sort Code: 09-01-50 Account No: 05488338 Please use your name as the bank transfer reference. Please send cheques to: Membership Secretary Friends of Northleach Church Northleach Benefice Office Church Walk Northleach GL54 3HL Thank you! Become a FriendPlease fill in your details to become a friend for as little as £20 per year.