Type of membership required. Please tick

Adult £14/yr   OAP £10/yr   Family £24/yr   Life £200

Payment options.

Standing order (Discount - Mandate below)

Cheque payable to The Botanic Centre Ltd.

Credit card number.........................................
Valid from..................Expires end...................

GIFT AID DECLARATION
I declare that I want this charity to treat all subscriptions and donations that I make after 6th April 2000 as gift aid donations. I understand that I must be paying Income Tax or Capital Gains Tax and that this must be greater than the amount of tax the charity will reclaim during the year.
Signed . . . . . . . . . . . . . . . . . . . . . . Date . . . . . . . .

STANDING ORDER MANDATE
Adult £13.00   OAP £9.00   Family £22.00

To:..........................................Bank plc (your bank)
Address:.....................................
..................................................
..................................................
Please pay The Cooperative Bank Middlesbrough Sort code 08.90.89
For the credit of The Botanic Centre Ltd.    Account no. 70931358 00
The sum of £.............
commencing on 1st...........20......(month/year) and thereafter annually until you receive further notice in writing, and debit my/our account accordingly.
Name of account to be debited:..........................
Bank account number................................
Signed............................. Date:................