Membership Application/Renewal

Subscription Rates:-

Annual Single £13.50 Double £25.00 Under 18yrs Free

Life (60yrs and over) Single £140.00 Double £210.00 Life (Under 60yrs) Single £150.00 Double £270.00

To receive a receipt, please enclose a stamped addressed envelope with any postal application

Mr/Mrs/Ms/Miss______

Address______

______Post code______

Telephone______Email______

I/we consent, under the terms of the Data Protection Act, to these details being stored by Greyfriars

Please tick: if you give consent to receive emails from Greyfriars’ e-list

Please tick: if you give consent to being included in a photo taken at occasions, for possible use in our publications or even the local papers

Signed______Date______

Charity Gift Aid Declaration – multiple donation

Boost your donation by 25p of Gift Aid for every £1 you donate

Gift Aid is reclaimed from the tax you pay for the current year

Your address is needed to identify you as a current UK taxpayer

I want to Gift Aid my donation of £…………. and any donations I make in future or have made in the past 4 years to:

Name of Charity: Ringwood & District Community Association: Charity No: 301929

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

Title______First name or initial(s)______

Surname______

Full Home address______

______

Postcode______Date______

Please notify the charity 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

Ringwood & District Community Association

Registered Charity no 301929

www.greyfriarsringwood.org.uk