Woolston Eyes Conservation Group

                        

I wish to apply for a permit to visit Woolston Eyes Nature Reserve

Registered Charity No:700362
 

 at a cost of £10 /year single    [  ] (Please tick)

                   £20 / year  family  [  ] (Please tick)

 

Key for barriers and footbridge gate to No3 bed.

at "one off" non -returnable deposit of £10  [  ]    (Please tick)

(This is essential if you wish to visit No3 bed)

 

Note: The latest wildlife report is available at £6.00 inc. postage. [  ]    (Please tick)

 

Total amount enclosed £_________________

 

 

  Name __________________________________

 Address __________________________________

              __________________________________

              __________________________________

              __________________________________

Post Code _______________  e-mail address (to receive Annual Newsletter)  ___________________________________

 

Gift Aid Declaration

Please treat all subscriptions and donations that I have made in the last four years and all future

subscriptions and donations that I make from the date of this declaration, until I inform you otherwise as

Giftaid donations. I note that I must pay an amount of Income tax/and or Capital Gains Tax for each tax

year that is at least equal to the amount of tax that will be reclaimed on my donation. I confirm that I will

inform yourselves if I wish to cancel this declaration, when I change address or if I no longer pay

sufficient Income Tax/and or Capital Gains Tax to allow GiftAid to be reclaimed on my behalf.

 

 

Signature ___________________ Date _________________

Please send the completed form and remittance to:-

Mr B Ankers , 9 Lynton Gardens, Appleton ,Warrington, WA4 5ED.

Cheque/ postal order should be made payable to:- W.E.C.G.

Please enclose a large (preferably A5) stamped addressed envelope