The Japanese Garden Society - Registered Charity Number 1141251

Membership Enrolment Form

(Please type or print in CAPITALS) SURNAME_____________________________ TITLE(s)_____________ FORENAMES _______________________________________________ NAME OF ACADEMIC INSTITUTION, etc (for GROUP MEMBERSHIP ONLY) _______________________________________________________________________ FULL POSTAL ADDRESS____________________________________________________ _______________________________________________________________________ POSTCODE_____________________ Tel No:________________________ E-Mail:______________________________________________ Please indicate your particular areas of interest in, or knowledge about, Japanese gardens: ________________________________________________________________________ ________________________________________________________________________ Where did you hear about the Society?__________________________________________ Could you spend a few hours a month to help with running the Society? [YES/NO] If yes, what skills / experience can you offer? __________________________________________________________________________ I/we wish to join the Japanese Garden Society and enclose the completed standing order form for my/our subscription as indicated below. I/we undertake to comply with the constitution of the Society and to pay the annual subscription promptly when due. Signature(s):_______________________________ Date:_____________________________________

(a)	Personal Membership	[__]	£30
(b)	Joint Membership (for a couple resident at the same address)	[__]	£40
(c)	School, college or group (special rate, includes 2 copies of each journal issue)	[__]	£75

NOTE: remittances in sterling only please, no foreign currencies.
NOTE: please enquire for overseas subscription rate

The membership year runs from 1 June to 31 May.
Back issues of the journal will be sent when joining mid year.

Standing Order Form
To the Manager, ______________________________________(Bank / Building Society)

Address: _______________________________________________________________

______________________________________________________________________

______________________________________________________________________

Postcode:__________________________

Sort code: ___-___-___

Please transfer from my account no:________________________ the sum of £______

to the Japanese Garden Society's account no. 09642919 held at
National Westminster Bank plc
PO Box 177, Borough Green, SEVENOAKS
Kent, TN15 8NX
Sort Code 51-81-07
immediately, and thereafter annually on the 1st June each year until further notice.

Signed:__________________________    Print Name:_________________________

Gift Aid Declaration

Please treat as Gift Aid donations all qualifying gifts of money made

Today

[__]

In the last 4 years

[__]

In the future

[__]

Please tick all of the boxes you wish to apply.

I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year
(6th April to 5th April) that is at least equal to the amount of tax that all the charities or Amateur
Sports Clubs (CASCs) that I donate to will reclaim on my gifts for that year. I understand that other
taxes such as VAT and Council Tax do not qualify. I understand the Charities or CASCs will reclaim
25p tax on every £1 that I gave after 6th April 2008 and 28p of tax on every £1 prior to this.

DONOR'S DETAILS

Title ______________Initials_________________Surname________________________________

Full Home Address________________________________________________________________

______________________________________________________________________________

Post Code ___________________________


SIGNED______________________________________________________Date_____________

Membership Number (where known)_________________

Please notify us if you:

• want to cancel this declaration
• change your name or address
• no longer pay sufficient tax on your income or capital gains

If you pay Income Tax at the higher 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.

Please print and complete this form, then post to:

The Honorary Secretary, Woodzened, Longdene Road, Haslemere, Surrey, GU27 2PQ

Please click here to return to the main JGS site.