Green Economics Institute Trust

By Kevin Carroll,2014-04-30 05:09
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Green Economics Institute TrustGree

     Membership Form 2012

Name, Surname:

    Full Address:





    Green Economics Institute Membership Fee_____________

Membership fee ? 60 $ 130 ?72


Membership fee ? $ ?

Optional donation ? $ ?

Total: ? $ ?

Method of payment (please delete those not appropriate)

Cheque YES / NO

Bank Transfer YES / NO

Standing order YES / NO

    For information about how to pay please read the following page entitled Membership Payment Options

Gift Aid Declaration (please fill in just for UK citizens)

    If you are a UK taxpayer, completing this Gift Aid declaration will enable The Green Economics Institute to reclaim basic rate tax paid on your gift, increasing its total value by over 25%, at no extra cost to you. Full name_____________________

    Full Address


    Please treat all donations I have made to The Green Economics Institute from the date of this declaration until I notify you otherwise, as Gift Aid donations.

    Signature Date

    This applies if you have paid an amount of Income or Capital Gains Tax that equals or exceeds the amount of tax to be reclaimed. Please inform us should you no longer pay UK Income Tax at any time after the date

of this declaration.

Membership payment options______________________________

If you are in the UK, payment is possible by cheque, standing order or bank transfer.

CHEQUES should be made payable to Green Economics Institute and addressed to The Membership

    Secretary, The Green Economics Institute, 6 Strachey Close, Tidmarsh, Reading RG8 8EP


    Triodos Bank

    A/C 20078498 Code: 16-58-10

    Please use your name as the reference for this transaction so that we know who the money has come from!

    BY PAYPAL if you would like to pay by PayPal, please, send us an inquiry at and we will send you invoice through PayPal.

STANDING ORDERS please complete the standing order form below and return it to your bank. Our bank

    details can be found just above. Please use your name as the reference for this transaction so that we know

    who the money has come from!

If you are not in the UK, payment by bank transfer is usually the preferred option, however please

    contact us if you have any queries about this.

    Name: Green Economics Limited

    Bank: Barclays Bank PLC, Bracknell Area, Berkshire, RG12

    IBAN: GB28 BARC 2011 7463 4269 63


     Standing Order Form (UK only)

     Our details________________________________________________________ Payee name: Green Economics Institute Payee Sort code: 16-58-10 Triodos Bank Payee Account No: 20022190 Payee Ref. (your name):

     Your details_______________________________________________________

     Account Name:

     Account Number:

    Account Sort code:

    Address of Bank:

     I wish to pay GBP on / / and every quarter / six months / year (delete as appropriate) thereafter. Debit my account accordingly until cancelled in writing. Signature(s): Date:

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