Membership Application Form

Please return to:

North Harris Trust Office,

The Old Hostel, Tarbert,

Isle of Harris HS3 3BG

Annual £20 Family £30 Student/Unwaged £10 Life £300

Subscriptions Subscription

And/or I wish to donate

I enclose a cheque (made out to North Harris Trust)

Please charge my Visa / Mastercard Card expiry date

                                                                        Card No.

Signed ......................................................................... Date ..........................................

Or telephone 01859 50 2222 to pay by Credit Card

Or donate on-line at: www.north-harris.org

I would like to help reduce admin costs by paying by Direct Debit

Name: ...............................................................................................................................

Address:............................................................................................................................

...............................................................................Postcode:...........................................

Tel:.....................................................................................................................................

Email: ................................................................................................................................

For more information and Trust news: www.north-harris.org

GIFT AID - If you pay tax, all your contributions to this charity qualify for Gift Aid and the North

Harris Trust can recover the related tax. As a tax payer you must pay an amount of income tax

and/or capital gains tax at least equal to the tax that NHT would reclaim on your gift(s) in the tax

year. (For example, if you donate £50, NHT can currently recover £14.10). Please help by completing

the Gift Aid Declaration. A declaration can also cover future donations and subscriptions, as long as

you are paying sufficient tax, or until you notify us to cancel the declaration.

GIFT AID DECLARATION - I want the North Harris Trust to treat all donations/subscriptions I make

from the date of this declaration, until I notify you otherwise, as Gift Aid donations.

Signed:.................................................................................... Date: .....................................................

£