Membership Form | Sankey Canal

Name

Surname

Joint Application Second Name

Surname

Address

Postcode

Telephone

Can you help SCRS? Do you have any skills or experience, would you like to volunteer?

WAYS TO PAY Tick one box

Bank Transfer Virgin Money UK St Helens Branch Sort Code 05 07 44 Account 42214466

STAYING IN TOUCH – General Data Protection Regulations Tick all boxes that apply

I/we agree to SCRS retaining this information about me/us so that SCRS can communicate with me/us by any of the following methods:

Email(preferred)TelephonePost

Your personal data is not shared with any other organisation. You can change your preferences at any time by emailing or writing to the Membership Secretary. Our IT and GDPR policy is available at www.sankeycanal.co.uk or you can request a copy from our Membership Secretary.

We would like to keep you informed by occasional email of membership matters and our latest news,fundraising progress and restoration activities. Our journal is Sankey Milestones and we also produce an occasional newsletter. Email is the quickest and most efficient method of communication.

If you would prefer a printed copy of Sankey Milestones please tick here:

GIFT AID - Please allow us to claim Gift Aid from HMRC to boost your donation by 25% at no extra cost to you! Tick one box

I want to Gift Aid my current and future SCRS subscription and / or donations and any that I have made in the past four years. I am a UK taxpayer. I understand that if I pay less income / capital gains tax than the amount claimed on all of my donations it is my responsibility to pay any difference.

Claim Gift Aid

Please notify the Membership Secretary if you want to change this declaration or your name or address.

DECLARATION Sign & date (electronic signature is accepted)

This information is correct to the best of my knowledge. I am over the age of 18. I agree to abide by the Society’s Constitution and its governance policies (www.sankeycanal.co.uk).