LBT Membership Application Form


Membership of Linlithgow Burgh Trust costs £10 per year (1 October to 30 September).  To apply for Membership, please complete the following form and click on "Apply".  If two or more people wish to join (e.g. husband and wife or partners) please inclide the partner's name and select "Two Memberships" or complete an application for each person.

Items marked * are required.  If you only use a mobile phone, enter it under "Phone Number".

If you would prefer to submit your application by post, please download and print out the Membership Application Form, complete it and send it to us, with your subscription of £10.

Gift Aid

Boost your contribution by 25p of Gift Aid for every £1 you donate! Gift Aid will be reclaimed by Linlithgow Burgh Trust from the tax you pay for the current tax year. To Gift Aid your contribution, you must tick the box below. Eligible donations include membership subscriptions, donations and sponsorship payments.

I am a UK taxpayer and understand that, if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year, it is my responsibility to pay any difference.

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