I would like to support White Eagle’s work and become a member of The White Eagle Lodge.
Name (In capitals)………………………………………………………………………………………
Address ………………………………………………………………………………………………………………………………………
………………………………………………… Post Code …………………… Signature ………………………………………………
Address ………………………………………………………………………………………………………………………………………
………………………………………………… Post Code …………………… Signature ………………………………………………
We are warmly grateful for your support
and will write shortly to welcome you! We hope that your closer link with
the Lodge is rewarding for you. The form below takes care of the practicalities
and can be used either to become a Friend or a Member at the subscription
rate appropriate for you. We do hope you will help us by using the Direct
Debit and Gift Aid Declaration forms for your subscription.
For Gift Aid Declaration form and alternative methods of payment, please click
here
I wish to pay as follows:-
(please make instruction monthly if possible)
(please make instruction monthly if possible)
By
Direct Debit: Instructions to your Bank or Building
Society to pay by Direct DebitOriginators identification number
Name and full postal address of your Bank or Building
Society
Please pay The White Eagle Lodge Direct
Debits from the account detailed on this instruction subject to the safeguards
assured by the Direct Debit Guarantee. I understand that this instruction
may remain with The White Eagle Lodge and, if so, details will be passed
electronically to my Bank or Building Society. Banks or Building Societies
may not accept Direct Debit instructions for some types of account. Note
to subscriber: debits are normally effected on the 6th of the month.
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The Direct Debit Guarantee |
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• This Guarantee is offered
by all Banks and Building Societies that take part in the Direct Debit
Scheme. The efficiency and security of the Scheme is monitored and
protected by your own Bank or Building Society. • If the amounts to be paid or the payment dates change The White Eagle Lodge will notify you 28 days in advance of your account being debited or as otherwise agreed. |
• If an error is made by The White Eagle Lodge
or your Bank or Building Society you are guaranteed a full and immediate
refund from your branch of the amount paid.
• You can cancel a Direct Debit at any time by writing to your Bank or Building Society. It would be helpful if
you would notify us of any cancellation.
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Please return to:
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The White Eagle Lodge,
Brewells Lane, Rake, Liss, Hampshire, GU33 7HY © 2008The White Eagle Lodge
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