Arnold Bennett Society

Charity Number:  1140053

If you are a UK tax-payer, and would like to subscribe to Gift Aid, please complete the following and return it

with your application form for membership of the Arnold Bennett Society.

I confirm that I am a UK tax-payer and that I wish my annual subscription to The Arnold Bennett Society to be treated

as a Gift Aid donation.  I also confirm that I pay sufficient Income Tax or Capital Gains Tax to cover this donation

(25p for every £1 donated). I would like to Gift Aid all donations I’ve made to The Arnold Bennett Society from 1^st September 2011 and all donations in the future until I notify you otherwise.

Full Name __________________________        One name only in the case of a joint membership

Address ____________________________________________________________________

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