2018 CBKA Membership Application / Renewal

New Member or Renewal of Membership (Delete as appropriate)

Please print and ensure you write clearly

Title: / Surname:
Forename(s):
Other Member
Title: / Other Member
Surname:
Other Member
Forename(s):
Address:
Post Code:
e-mail:
Tel No: / Mob No:
Tick / Membership type (see 2018 CBKA Membership Information)
Full Membership: £26 / £
Partner Member: £17 / £
Country Member: £13 / £
Associate Member: £10 / £
Junior Member: £10 / £
Bee Disease Insurance (BDI) cover
Colonies operated / Extra insurance Premium / £
Beekeepers Quarterly (available for new & renewal applications received by 31/01/2018) : £20
Voluntary donation to CBKA: / £
Total: / £

Group Support

As a fully paid up member of the association you are entitled to attend any CBKA group meeting. Please indicate in the table below with a tick the group you would like to be affiliated to.

CBKA Group / Tick / CBKA Group / Tick
11 / Bodmin / 15 / Liskeard
12 / Kit Hill / 17 / Roseland
13 / Carrick/Kerrier / 18 / Wadebridge
14 / Launceston
Please send your membership application form and fee to
Mr Leslie Buckley
CBKA Treasurer
19 Grove Park Court
Liskeard, PL14 4EZ
Please make cheques payable to CBKA / Alternative BACS Payment
Account Name:
Cornwall Beekeepers’ Association
Account No: 00007630
Sort code: 40-52-40
Reference: Your surname & postcode
Send your membership application form to:

I agree to comply with the rules of the CBKA. I am aware that the CBKA keeps a record of my details on acomputer in accordance with its Privacy Policy (available on the CBKA website). I accept that my details may be given to the BBKA. I also accept that my details may be given to officers of the National Bee Unit for the purposes of education and disease control, unless I opt out by placing an X inthe box below.

Please do not forward my details to the National Bee Unit (NBU)

Please do not make my details available to other CBKA members

Member’s signature: Date:

CBKA Gift Aid

As a charity the CBKA is able to claim Gift Aid from HM Revenueand Customson membership subscriptions, for those members signing the Gift Aid declaration below. Gift Aid is used to supplement the CBKA’s running costs in the following ways: 20% is retained by the CBKA for projects and other initiatives, 80% is allocated, on a pro-rata basis, to the CBKA’s seven local groups. This extra funding allows local groups to undertake additional activities in the local community and in support of the CBKA’s aims.

Gift Aid declaration for multiple donations

Name of charity: Cornwall Beekeepers Association

Charity Number: 298470

Please treat as Gift Aid donations all qualifying gifts of money I have made with this CBKA Membership/Membership Renewal form and any qualifying gifts of money I make in the future or have made in the past four years

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 the difference. I understand the charity will reclaim 25p of tax onevery £1.00 that I donate.

Please notify the CBKA Treasurer if you:

  • Want to cancel this declaration
  • Change your name or home address
  • 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.

Donor’s details:

Title: / Surname:
Forename(s):
Address:
Post Code:

Signature: Date:

Additional Notes:

  1. This form may be used for membership renewal and for new membership applications
  1. Gift Aid cannot be claimed on a subscription payment paid on behalf of someone else. Please ensure all eligible UK taxpayers complete a Gift Aid declaration to cover their own subscription. Junior Member subscriptions do not require a separate Gift Aid declaration.
  1. If renewing your membership please ensure you do so by 31st January 2018 at the latest
  1. CBKA will place one group order for the Bee Keepers Quarterly and to be included your form must be received by 31st January 2018
  1. Membership covers the period 1st January 2018 to 31st December 2018
  1. If you are submitting this form electronically your signature can be your e-mail address.

Thank you for your support for the Cornwall Beekeepers Association

2018 CBKA Membership/Membership Renewal and Gift Aid form