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Application for Membership STANDING ORDER MANDATE of … · 2017-09-28 · renovations including...

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.is an exciting new visitor attraction that tells the story of Axminster. Run by volunteers, is a community project and meeting place and resource to support schools and life-long learners. Thomas Whitty House, a Grade II listed building and site of the original Axminster carpet factory, was acquired by Axminster Heritage Ltd in 2012. After major renovation work, the Axminster Heritage Centre now houses the former Town museum in a new Gallery with the historic carpet manufacturing story as its centrepiece. The Centre also offers the Bradshaw Meeting Room for hire, and incorporates a Tourist Information Point and small shop. Heritage Alive is a programme of events, talks, courses and get-togethers that further extends our reach. Axminster Heritage has already received generous funding from Making It Local (EU funding) and others that has allowed us to renovate Whitty’s original 18 th c. Dye House. We now have a major Heritage Lottery grant application in progress to allow us to make further renovations including the Drill Hall and Dyers Garden. Most grant-givers require ‘match-funding’ and that is where you can help. We need to raise enough money to realise our aim of making the Centre a modern interactive attraction appealing to visitors of all ages. We will continue to apply for grants. By becoming a Member of Axminster Heritage you will show grant- givers that we have the community’s support and commitment for this exciting and on-going project. Together we can do it! Application for Membership of Axminster Heritage I wish to become a: Member or Life Member £10 pa one-off £100 Please tick Title: _______ Name: ___________________________________ Address:__________________________________ _________________________________________ Post code: ___________________ Tel: ________________________ Email: ____________________________________ GIFT AID DONATION: I wish to gift aid this and all subsequent donations, to Axminster Heritage Ltd - Charity (No: 113818). I confirm that I pay the same amount or more in Income Tax or Capital Gains Tax to cover the amount of tax to be reclaimed. Signed:_______________________ Date:________ STANDING ORDER MANDATE FOR ANNUAL MEMBERSHIP To: …….………………………………………………...... Bank Branch Address ........................................................ .................................................................................. Please set up the following Standing Order and debit my account accordingly Account details: A/c branch: ……………….…… Sort Code A/c name: …………………… A/c number Payee details: NatWest Bank plc, Axminster Branch, Victoria Place, Axminster, Devon EX13 5AR Sort Code A/c name: A/c number: Payment to appear as: Your payment: Please pay the sum of ten pounds (£10) to Axminster Heritage Ltd on receipt of this mandate and then the same amount annually on the last day of the month until further notice. Signed:______________________ Date:________ AH subscription 2017 Axminster Heritage Ltd 51-61-23 72521597
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Page 1: Application for Membership STANDING ORDER MANDATE of … · 2017-09-28 · renovations including the Drill Hall and Dyers Garden. Most grant-givers require Zmatch-funding [ and that

.… is an exciting new visitor attraction that tells the story of Axminster. Run by volunteers, is a community project and meeting place and resource to support schools and life-long learners. Thomas Whitty House, a Grade II listed building and site of the original Axminster carpet factory, was acquired by Axminster Heritage Ltd in 2012. After major renovation work, the Axminster Heritage Centre now houses the former Town museum in a new Gallery with the historic carpet manufacturing story as its centrepiece. The Centre also offers the Bradshaw Meeting Room for hire, and incorporates a Tourist Information Point and small shop. Heritage Alive is a programme of events, talks, courses and get-togethers that further extends our reach.

Axminster Heritage has already received generous funding from Making It Local (EU funding) and others that has allowed us to renovate Whitty’s original 18th c. Dye House. We now have a major Heritage Lottery grant application in progress to allow us to make further renovations including the Drill Hall and Dyers Garden. Most grant-givers require ‘match-funding’ and that is where you can help. We need to raise enough money to realise our aim of making the Centre a modern interactive attraction appealing to visitors of all ages. We will continue to apply for grants. By becoming a Member of Axminster Heritage you will show grant-givers that we have the community’s support and commitment for this exciting and on-going project.

Together we can do it!

Application for Membership

of Axminster Heritage

I wish to become a: Member or Life Member £10 pa one-off £100 Please tick

Title: _______ Name: ___________________________________ Address:__________________________________ _________________________________________ Post code: ___________________

Tel: ________________________

Email: ____________________________________

GIFT AID DONATION: I wish to gift aid this and all subsequent donations, to Axminster Heritage Ltd - Charity (No: 113818). I confirm that I pay the same amount or more in Income Tax or Capital Gains Tax to cover the amount of tax to be reclaimed.

Signed:_______________________ Date:________

STANDING ORDER MANDATE

FOR ANNUAL MEMBERSHIP

To: …….………………………………………………...... Bank

Branch Address ........................................................

..................................................................................

Please set up the following Standing Order and debit my account accordingly Account details: A/c branch: ……………….…… Sort Code A/c name: …………………… A/c number

Payee details: NatWest Bank plc, Axminster Branch, Victoria Place, Axminster, Devon EX13 5AR Sort Code

A/c name: A/c number: Payment to appear as: Your payment: Please pay the sum of ten pounds (£10) to Axminster Heritage Ltd on receipt of this mandate and then the same amount annually on the last day of the month until further notice. Signed:______________________ Date:________

AH subscription 2017 for………..….……….…*

Axminster Heritage Ltd

51-61-23

- -

72521597

51-61-23

72521597

Page 2: Application for Membership STANDING ORDER MANDATE of … · 2017-09-28 · renovations including the Drill Hall and Dyers Garden. Most grant-givers require Zmatch-funding [ and that

Members of Axminster Heritage will be

part of the democratic structure of Axminster Heritage Ltd. The cost is £10 per annum or a one-off payment of £100 for Life Membership. Members will be entitled to:

Free admission to the Heritage Centre

Regular newsletters (preferably by email)

Vote at the AGM

Invitation to special events

Membership card offering discounts at local outlets (details to be confirmed)

(NB: Members have a limited liability of £10 should the charitable Company be wound up)

Please return this application form together with your completed Standing Order Mandate (for annual Membership) or your cheque for the appropriate amount payable to Axminster Heritage Ltd to:

Membership Secretary, Axminster Heritage Ltd, Thomas Whitty House, Silver Street, Axminster EX13 5AH

Charity No. 113818

Hon. President: David Fursden, Lord Lieutenant of Devon

Website: www.axminsterheritage.org

Enquiries: [email protected]

Printed by Axminster Printing May 2017

Membership

Application Form


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