Membership Form. You can also use this for renewing your membership.
Please tell us if you have changed your contact details.

To print this form, click on File/Print or the 'Print' button in the toolbar at the top of your browser.

Waged individual........£ 25   Unwaged individual........£ 7.50 Household.........£ 25

Trade Union branches, Local Groups and Student Groups ... £ 40    Trade Union regions... £75

Name:.............................................................................................................

Address:..........................................................................................................

......................................................................................................................

Tel:.................................................e-mail:......................................................

Pay by cheque (if a trade union payable to NSCAG. All others payable to NSC)

I enclose £.........to become a member.  I enclose a donation of £.......Total £.........
I enclose £........ to renew my membership. I enclose a donation of £...... Total £........

NSC is now a charity. Inland Revenue will give us 28 pence for every £1 you give us so, if you are a UK tax payer read the text below, sign and date. If you are not, please tick the box. Thank you.
NB. What you pay in income tax or capital gains tax must be equal to or more than the amount we will claim from your donation.

I would like to Gift Aid all donations I’ve made to NSC over the last six years and all donations in the future until I notify you otherwise.

 ………………………………………….… (sign) .……………………(date)
OR I am unable to Gift Aid my donations (please tick) 


Standing Order Form:
To the Manager: (write in your bank/building society's name and address)

.............................................................................................................................

Account Name (Name of your bank account) .................................................................

Account Number...................................      Sort Code  ............/........./.........

Please pay Nicaragua Solidarity Campaign......£.....................

every month/year starting on ........./........./.........(date) until further notice.

Signed....................................... Date................................................

Credit A/C of: Nicaragua Solidarity Campaign,
Unity Trust Bank, 4 The Square, 111 Broad St, Birmingham B15 1AR

Sort Code 08-60-01 Account no. 50724556  (OR FOR NSCAG 08-60-01    Account no. 20129945)

Return to NSC, 86, Durham Rd, London N7 7DT    020 7561 4836           nsc@nicaraguasc.org.uk
Please also return the Gift Aid form above.

Do not send this direct to your bank. We will do that having taken a copy.