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Lower Bosmere Mill Lock (now Creeting Lock) c1910 Membership Application Form part 2 I am a UK taxpayer and ask that this and any future donations I make be treated as a Gift Aid donation for the Trust to recover the tax I have paid. Please tick if appropriate Signed Date Please complete the following details in BLOCK CAPITALS Title (Mr/Mrs/Sir etc) Surname First Names Address Post Town Post Code Telephone Email Nominated second voting member (family membership only) (To be eligible to vote this person must live at the same address and be over 18) Title Surname First Names STANDING ORDER Your Bank Name Address Sort Code: Account Number Your Full Name (Block Capitals) Your Address: Please pay to: Co-operative Bank, PO Box 250, Delft House, Skelmersdale, WN8 6WT. Sort Code 08-92-99 Account No. 65240627 The River Gipping Trust Ltd. the sum of: £ on the 1st of (month) (year) and the same sum on the same day each year until further notice. Signed: Date: The River Gipping Trust Limited is a company limited by guarantee Registered in England No. 6145692 Registered as a Charity No. 1119586 The River Gipping - your historic waterway through Suffolk JOIN US NOW AND HELP TO RESTORE AND CARE FOR THIS HISTORIC VALLEY The River Gipping Trust is preserving the historic heritage of the Stowmarket Navigation by restoring the structures that enabled navigation of the River Gipping from the docks in Ipswich to Stowmarket and caring for the flora and fauna of the Gipping Valley ----------------------------------------------------------
