Page 54 - QARANC Vol 14 No 12 2016

52 QARANC THE GAZETTE
Queen Alexandra’s Royal Army Nursing Corps Association
Charitable Incorporated Organisation • Charity Registration Number 1163821
REGIMENTAL HEADQUARTERS QARANC HQ AMS, Slim Road, Camberley, GU15 4NP
Tel: Civil: 01276 412754 Mil: 94261 2754 AO: Tel: Civil: 01276 412747 Mil: 94261 2747 Fax: Civil: 01276 412793 Mil: 94261 2793 E-mail: gensec@qarancassociation.org.uk
QARANC ASSOCIATION – MEMBERSHIP APPLICATION
Surname (Block capitals please) .................................................................................................................................................. Forename ..................................................................... Maiden Name ........................................................................................ Married/single/widow/widower ........................................Date of Birth ........................................................................................ Rank................................................ Service No ............................................ Decorations .......................................................... Address (Permanent address to which Gazette and all correspondence should be sent): ........................................................................................................................................... ...........................................................................................................................................
Tel No ........................................... E-Mail..........................................................................
QARANC/QARANC(V)/QAIMNS/QAIMNS(R)/TANS ......................................................
Brief description of Service including dates:........................................................................ ........................................................................................................................................... ........................................................................................................................................... ...........................................................................................................................................
Please forward a cheque for the first payment. For ease of administration future payment is preferred by Direct Debit. This will be deducted in January each year.
Please make cheques payable to the QARANC Association.
Annual Subscription including Gazette UK/N. IRELAND/ISLE OF MAN ................................£12.00 Annual Subscription including Gazette EUROPE/EIRE .........................................................£16.00 Annual Subscription including Gazette ALL OTHER DESTINATIONS....................................£20.00 Association Brooch................................................................................................................£6.50 Please state which branch you would like to join .......................... or remain on HQ Roll. QARANC Association Pin Badge free on application
Signature ........................................................................................ Date ...............................
When joining the QARANC Association your name and address would be passed onto your future Branch Secretary. If you do not wish to comply with this please tick the box
Gift Aid Declaration
All subscriptions and donations that I make to the QARANC Association (Charitable Incorporated Organisation, Charity Registration Number 1163821) after the date of this declaration can be treated as Gift Aid donations and the tax reclaimed.
Signed ............................................
Your should only sign this declaration if you are an income tax payer, and agree that this tax may be reclaimed by RHQ