AMIDA TRUST:Membership Application

A M I D A а T R U S T

Affiliation Membership - Europe, Asia, etc.

To become a member just fill out the form below and mail a check or money order in British Pounds to:
AMIDA TRUST
53 Grosvenor Place
Jesmond, Newcastle upon Tyne
NE2 2RD, UK
When we receive your check, your membership will be activated and you will receive a return email acknowledging receipt of your joining.

A P P L I C A T I O N а F O R M

Please enroll me as a Member of Amida Trust. I will be sending my yearly membership donation as selected below.

Select whether this is a:
"New Membership" or a "Membership Renewal"
Select which membership type you are applying for:

Associate Member г15 (Europe г18 or
ааааааааFrFr160, Overseas г20 or $30)
Supporting Member г25
Sustaining Member г100

We can also receive donations in French francs, Canadian or US dollars and in Irish Punds and cheques drawn on UK, USA, Canadian, French or Irish banks.

NOTE Amida Trust is now a registered charity. If you pay income tax in the UK and would like to support the Trust further at no additional cost to yourself, you may be interested in signing a deed of covenant form which will allow the Trust to recoup the income tax on your donations over a period of four or more years. You may also be interested in paying by standing order. If either of these options appeals to you, please indicate below.

а Please send me a Deed of Covenant Form
Please send me a Standing Order Form

Name:
Address:
City:
State:
Country:
Zip:
Phone:
Fax:
Email:

I also wish to join the Trust's psychotherapy division & IBAP, and will enclose an additional г3. If you have any of the following special interests please check them off:
а	Buddhist approaches to child care to work in clinical settings arts working with death & dying community mental health humanitarian aid East Europe

Email Amida Trust