REQUEST FOR POSTAL ARCHIVE SEARCH

Please print out this form, complete and return by post to the above address, together with a cheque to cover your fee, which should be made out to "QLR Museum Account".

SUBJECT'S DETAILS

Name:

Service Number:

Regiment:

Battalion:

Period of Service (eg WWI / WWII etc):

Dates of Service (if known):

OFFICE USE ONLY
INFORMATION REQUIRED

 

 

 

 

  
INFORMATION WHICH MIGHT HELP  

YOUR DETAILS

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

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

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

Tel No: ................... .... ...... ...........................................  e-mail: ......... ............................................................... ....

  •  I enclose my cheque, made out to "QLR Museum Account," covering my donation of £ ................

  •  Please spend up to   .............  hours on my search.

  •  If a longer period is required please continue and invoice me for the additional charges / Please report back to me before continuing  (Delete as appropriate).

  •  I hereby accept any additional charges which may be incurred (eg extra research time / photocopying) which I will pay on receipt of invoice.                                                                                                                    YES / NO

  •  I hereby acknowledge that it is possible that no information may be found.

  •  (IMPORTANT: If you are a current UK Tax Payer, please help us by also completing the Gift Aid Declaration below. We can then claim back from  the Government an additional 28 pence for every £1 of your donation.)

 

Signed: .......................................................... .... .....................   Date: .................................

 

I wish The Museum of The Queen's Lancashire Regiment Charity to treat

*the enclosed donation of £……………… as a Gift Aid donation

*the donation(s) of £……………… which I made on…./…./……. as (a) Gift Aid donation(s)

*all donations that I make from the date of this declaration until I notify you otherwise as Gift Aid donations

*all donations I have made for the six tax years prior to the year of this declaration,

(but no earlier than 6/4/2000) and all donations I make from the date of this declaration

until I notify you otherwise, as Gift Aid donations.

*delete as appropriate

You must pay an amount of Income Tax and/or Capital Gains Tax at least equal

to the tax that the charity reclaims on your donations in the appropriate tax year.

(currently 28p for each £1 you give).

 

 

Signature ...................................................................................................... Date ………./………./………

 

(Please complete your details below IN BLOCK LETTERS)

 

Title……....  Forename(s) …………………………….................  Surname……………………………………………..

 

Home address ...................………………………………………………………………………………………………………

 

….…………………………………………………...................………………………………….......……………………………

 

…...………………………………….................………....................…. Post Code…….....……………………………….

NOTES

1. You can cancel this Declaration at any time by notifying the charity.

2. If in the future your circumstances change and you no longer pay tax on your income and capital

gains equal to the tax that the charity reclaims, you can cancel your declaration.

3. If you pay tax at the higher rate you can claim further tax relief in your Self Assessment tax return.

4. Please notify the charity if you change your address.