Renew my annual subscription

I want to renew my Green Routes annual subscription.

Membership costs £5 per year, but we welcome larger sums if you wish to increase your support.

Name *

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Full home address *

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Contact phone number *

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Email *

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I have made a payment of the following amount (£) *

I have made payment to Green Routes Stirling Ltd, Co-operative Bank account No 65821761, Sort Code 08-92-99, using reference SUBSRENEW *

by one single BACS payment
by annual recurring BACS payment
by Direct Debit
by cheque sent to Green Routes Stirling Ltd, The Walled Garden, Gartmore House, Gartmore FK8 3RS

Please choose one

Remarks (optional)

Gift Aid Declaration (tick box if applicable)

I want to Gift Aid my donation as noted above and any donations I make in the future or have made in the past 4 years to Green Routes Stirling.

I am a UK taxpayer and understand that if I pay less Income Tax or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference.

I understand I must notify the charity if I:
* want to cancel this declaration
* change my name or home address
* no longer pay sufficient tax on my income or capital gains
and that, if I pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to me, I must include all my Gift Aid donations on my Self-Assessment tax return or ask HM Revenue and Customs to adjust my tax code.