Join The Library Campaign

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I wish to join The Library Campaign and enclose a cheque/PO payable to The Library Campaign for £ ………. for one year’s membership.

Name ………………………………………………………………………………………………

Address ……………………………………………………………………………………………

………………………………………………………………………………………………………

……………………………………………………………… Post Code ………………………..

Tel …………………………………………………………………………………………………

Email ……………………………………………………………………………………………..

Membership Rates

• Individual: £15.00
• Concessionary rate: £10.00
• Local organisations: £20.00
• Trade Union branches: £30.00
• Local Authorities: £200.00
• Companies/National Trade Unions: £100.00

Others please write or email for details.

If possible please also sign the Gift Aid declaration below. We also welcome
donations in addition to membership fees.

It saves a lot of time and money if you pay by Bankers Order. If you are able to
do this please fill in the form and return it to us.

Bankers Order Form

To the Manager ……………………………………………………………………………………
(Name and address of your bank.)

Please pay The Library Campaign (HSBC, Salford University Branch, The Crescent,
Salford M5 4PB. 40-40-39, a/c 61277405) the sum of:

£…………..every year starting on …………………… (date) until further notice.

Signed ………………………………………. Account No …………………………………….

Name ………………………………………………………………………………………………

Address ……………………………………………………………………………………………

………………………………………………………………………………………………………

……………………………………………………………… Post Code …………………………
(BLOCK CAPITALS PLEASE)

Gift Aid

I confirm that I am a UK tax payer and pay an amount of Income Tax and/or
Capital Gains Tax at least equal to the tax to be reclaimed in the tax year.
I would like my/our subscription (plus any donation) to be treated as Gift Aid.

Signed ………………………………………… Date …………………….

Please return this form to:

The Library Campaign, 22 Upper Woburn Place, London, WC1H 0TB