Faringdon and District

MEMBERSHIP APPLICATION 2007/2008

ONE FORM PER PERSON (Not per couple)

PLEASE ENSURE YOU COMPLETE AND SIGN ALL SECTIONS OF THE FORM

Mr Mrs Ms Miss Other (DELETE AS APPROPRIATE)          

FIRST NAME (name by which you are usually known)  ...................................................................................

SURNAME    .......................................................................................................................................................

ADDRESS     .......................................................................................................................................................

                       ……………………………………………………………………………………………………

POST CODE  ..........................................                           TEL...........................................................................

E-MAIL          .......................................................................................................................................................

 

APPLICATION  DECLARATION

I UNDERSTAND THAT, as a member of the U3A, when I undertake any of the activities associated with the U3A, I do so at my own risk.

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

Would you like to receive the national quarterly magazine (FREE)? Y / N If (Y) please sign here that you are willing for your name and address to be sent to headquarters (for direct mailing). Your name, address and other details are for use by U3A only and will not be forwarded to any other organisation.

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

Annual subscription £15, couples at same address £27 (renewable each April) Cheques made payable to Faringdon & District U3A Main Account.

Please send or give to Robin Stewart, 14 The Pines, Faringdon SN7 8AU (Tel. 01367 241 295)

 

GIFT AID

Name of Charity : Faringdon & District University of the Third Age        Charity number 1116311

Details of donor

Title ….. Forename(s)   ...................................      Surname  ..........................................................................

Address            ...................................................................................................................................................

Post Code           …………………………………………………………………………………………………

Delete as appropriate

I want the charity to treat

*      the enclosed donation of £     as a Gift Aid donation

*      the donation(s) of £   which I made on..../..../  as (a) Gift Aid donation(s)

*      all donations that I make from the date of this declaration until I notify you otherwise as Gift Aid donations

*      all donations I have made for the six years prior to this year, (but no earlier than 6/4/2000) and all donations I make from the date of this declaration until I notify you otherwise, as Gift Aid donations

You must pay an amount of Income Tax and/or Capital Gains Tax at least equal to the tax that the charity reclaims on your donations in the appropriate tax year (currently 28p for each £1 you give).

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

NOTES

1          You can cancel this Declaration at any time by notifying the charity.

2          If in the future your circumstances change and you no longer pay tax on your income and capital gains equal to the tax that the charity reclaims, you can cancel your declaration.

3          If you pay tax at the higher rate you can claim further tax relief in your Self Assessment tax return.

4          If you are unsure whether your donations qualify for Gift Aid tax relief, ask the charity. Or, refer to help sheet IR65 on the HMRC web site. (www.hmrc.gov.uk)

Please notify the charity if you change your name or address.