Membership Application Form

 

I would like to apply to join the Members or Friends of Wildside Activity Centre.

 

Please tick the category of members/friends you would like to join.

 

□ Friends and Supporters and Group/Organisation Friends 

£5.00

□ Friends and Supporters (unwaged)

£2.00

□ Friends and Supporters (volunteer)         

Free of charge

□ Members and Group/Organisation Members

£10.00

 

Title:- .......   First Name:- .................................... Surname:- .................................. (Please Print)

Home Address:-..............................................................................................................................

............................................................................................Postcode:-...........................................

Email:- .............................................................. Telephone Number:- ..........................................
Date:-     Signature:- .........................................................
Name of Group/Organisation if applicable:..................................................................................
.....................................................................................................................................................
I enclose my annual fee of............................................................................................ £          
I would like to make a donation to Wildside of.............................................................. £          

 

Please make cheques payable to ‘Wildside Activity Centre’.

Please also tick the box below and sign if you are happy for Wildside to claim Gift Aid on your annual fee and donation (if applicable).

 

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

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

Gift Aid is reclaimed by the charity from the tax you pay for the current tax year. Your address is needed to identify you as a current UK taxpayer.

I want to Gift Aid my membership and/or donation of £……………    to Wildside Activity Centre,

and any donations I make in the future (delete if not applicable)

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

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.