Membership
To join the Friends, please print out and complete this form and send to us with your subscription to:

The Friends of The Copped Hall Trust
C/o Pauline Dalton
Stables Courtyard
Copped Hall
Crown Hill
Epping
Essex CM16 5HS

PLEASE FILL ALL THE FIELDS
Full name (s) and title
Address
Post Code
Telephone No
Mobile No
E-mail address
By providing your e-mail address you will receive extra news bulletins about Copped Hall. Your personal detailsk address and e-mail address will not be given to any third party.
Cheque enclosed, made payable to "The Copped Hall Trust" for £20 single membership or £30 joint/family membership
Or you can pay by Direct Debit. Please give your Bank/Building Society details below:

To the Manager,

Name of Bank/Building Society

Address

Account No

Branch sort code


Instructions to the bank

Please pay annually from the account detailed above, the sum of £............... on..................... (date) to the The Copped Hall Trust, account number 01170775, sort code, 40-30-25, at the HSBC Bank, Loughton, Essex IG10 4LN

Signature


Date

I would like the charity to apply for Gift Aid on my behalf. I understand that I must pay income tax at least equal to the ammount claimed by the Copped Hall Trust in each year.

I am a UK Taxpayer. Signed: ...................................................

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