Gatekeeper Membership Application Form

If you wish to become a Member of Gatekeeper please complete and print off this form. Please enclose your subscription of £25.00 for individual membership or £35.00 for couples living at the same address,
(£30.00 and £40.00 respectively for overseas members) and either post or fax to:

The Secretary, Gatekeeper Trust, 7 The Chapel, The Plains, Totnes. TQ9 5DW
Phone: +44 01803 864680, E-mail:  secretary@gatekeeper.org.uk

All payments to be made in £ Sterling and either:
- sent by cheque made payable to 'Gatekeeper Trust' to the above address or
- sent by Bank Electronic Transfer to 'Gatekeeper Trust', A/C No. 00815470, NatWest Bank, Stratford-Upon-Avon, Sort Code 60-20-41
- overseas membership may also be paid by Sterling Bankers Draft made payable to Gatekeeper Trust drawn on a English bank

Subscription and donations may be made by Bankers Order
It would benefit the Trust greatly if taxpayers paid by Gift Aid

I wish to be a member of Gatekeeper for 2010 and enclose my Cheque or Bankers Order Form

In addition I wish to be a Benefactor of Gatekeeper Trust and enclose a donation of
£10 £20 £50 £100 £1000 Other

Total Amount Enclosed

Please tick box if you object to other Gatekeeper members being given your details

Please tick box if you object to other organisations being given your details