Single Membership Title Initials First Name Last Name Address 1 Address 2 City County Post Code Country Email Phone Number Mobile Number If you are a UK taxpayer, please tick the Gift Aid box. This allows us to claim an additional 25p in every pound you donate from HM Revenue & Customs Gift Aid Declaration I would like the Dartmoor Society to reclaim the tax on this and any other eligible donations or membership subscriptions that I may make in the future until further notice. I understand that I need to pay enough Income Tax or Capital Gains Tax in each tax year to cover the Gift Aid claimed on all my donations to charity, otherwise it is my responsibility to pay any difference. The Dartmoor Society Postal Newsletter Receive Postal Newsletter from The Dartmoor Society Submit and Proceed to GOCARDLESS Family Membership Title Initials First Name Last Name Address 1 Address 2 City County Post Code Country Email Phone Number Mobile Number If you are a UK taxpayer, please tick the Gift Aid box. This allows us to claim an additional 25p in every pound you donate from HM Revenue & Customs Gift Aid Declaration I would like the Dartmoor Society to reclaim the tax on this and any other eligible donations or membership subscriptions that I may make in the future until further notice. I understand that I need to pay enough Income Tax or Capital Gains Tax in each tax year to cover the Gift Aid claimed on all my donations to charity, otherwise it is my responsibility to pay any difference. The Dartmoor Society Postal Newsletter Receive Postal Newsletter from The Dartmoor Society SUbmit and proceed to gocardless