Membership application and renewal form

Individual, Joint / Family, or Student Membership

Are you making a:*

New application
Renewal

Type of membership*

Individual, 18 years or older (£20)
Joint / Family: adults living at the same address, plus children under 18 years (£30)
Student: individuals in full-time education (£10)

Would you like to add a donation?

If you wish to add a donation, please enter the amount in the box.

Treat as Gift Aid?*

Yes
No

Signing up for Gift Aid means that for every pound given in subscriptions and any subsequent donations your Society can claim a further 25% . This doesn't cost you anything.

Gift Aid declaration*

I confirm I have or will pay an amount of income tax and / or Capital Gains Tax for each year (6th April - 5 April) that is at least equal to the amount of tax that all the charities that I donate to will reclaim on my gifts for the tax year.

Please notify the charity if in future you want to cancel this declaration, change your name or home address, or no longer pay sufficient tax on your income and/or capital gains. If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.

Do you live overseas?

No
Yes

If you live overseas, communications, including the newsletter, will be sent by post only. £5 is added for postage.

Total

£ 0.00

This is the total amount you'll be asked to pay. When you have filled in necessary contact and other details, you'll be asked to proceed to payment. Payment can be made using a PayPal account or credit card. We use PayPal to process credit card payments, but you do not need to have a PayPal account for this. Your welcome letter will explain how payment can be made for subsequent years.

About you

Name*

First Last

Title*

Please enter any title we should place before your name (e.g. Mr, Mrs, Ms, Rev., Dr.)

Name of other adult at the same address

Title First Last

For joint / family membership only.

Name of child under 18 at the same address (if applicable)

First Last

For joint / family membership only

Name of child under 18 at the same address (if applicable)

First Last

For joint / family membership only

Name of child under 18 at the same address (if applicable)

First Last

For joint / family membership only

Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Email address

Communicating by email is faster and helps to notify you of any short notice changes. It also helps us by saving paper and postage. If you prefer to receive all communications from us by post, please leave blank.

Telephone

We will only contact you by phone if we need to update you urgently about an event you have booked. Please leave blank if you do not wish us to contact you by this method.

Contact*