I/We wish to become a member(s) of the Plantation Garden Preservation Trust
Name
Address
Postcode
Telephone
Email
Please enclose your cheque made payable to PGPT for  £7.50 (single)* or  £12 (family)*            *Please delete as necessary or complete the standing order mandate below      Please tick if existing member changing to Standing Order  [    ]
Please pay the Plantation Garden Preservation Trust [Bank of Scotland, Norwich: sort code 12-09-25 account number 00622909] the amount of £7.50 / £12.00* and thereafter on 1st January annually until further notice in writing and debit my/our account accordingly.
This order cancels any previous order made by me/us in respect of The Plantation Garden Preservation Trust
Bank		Sort Code
Branch address
Account Name		Signature
Account Number		Date
Gift Aid Declaration
I,                                                                      [please insert your full name] of address as shown above, should like The Plantation Garden Preservation Trust to treat this fee of £7.50 / £12.00* and all other donations and membership subscriptions I make from the date of this declaration as Gift Aid donation until I notify you otherwise.
Signed		Date
[If you are kind enough to sign this form and you are a UK taxpayer, the PGPT can reclaim 28p for every £1 you pay us]