Please tick as appropriate. Completed forms and a cheque made payable to "Comann Eachdraidh Lios Mòr" should be sent to:
The Membership Secretary, Comann Eachdraidh Lios Mòr, Tigh Iseabal Dhaibh, Isle of Lismore, By Oban, Argyll, PA34 5UJ, Scotland

A. Individual

q I wish to take Annual Membership £8.00

q I wish to take Family Membership £15.00

q I wish to take Life Membership £60.00

q plus GIFT AID

Comann Eachdraidh Lios Mòr
The new gift scheme means that we can reclaim tax on any donation you make to us. This would increase each donation by over 28%, providing you have paid sufficient UK/Capital gains Tax to cover this amount. To enable us to reclaim the tax on any donation you make, please tick the box above and write today's date below.

Title: Mr/Mrs/Ms/Miss

Name:

Address:

Email address:

Date:

B. Organisation

q Our organisation wishes to take affiliation for one year £15.00

q Our organisation wishes to take permanent affiliation £60.00

Name of organisation:

Name of Secretary:

Secretary's Address:

Email address: