Membership Application Form

ANNUAL SUBSCRIPTION: INDIVIDUAL MEMBER £30, FAMILY or PARTNERSHIP (includes children under 18) £50

SUBSCRIPTION PAYMENT IS PRO-RATA IN THE MONTH OF JOINING:

	INDIVIDUAL	FAMILY/PARTNERSHIP
January – March	£26	£44
April – June	£18	£33
July – September	£11	£19
October – December	£0	£0

Membership Application Form (1)

Name(Required)

Prefix First Last

Address(Required)

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

Telephone 1(Required)

Telephone 2

Email(Required)

Please let us know your reasons for joining the Anglo-Danish Society

Gift Aid? (makes every £1 you give worth 25 pence more, at no extra cost to you. If applicable, please tick this box)

I am a UK taxpayer and would like the Anglo-Danish Society to reclaim the tax on all eligible membership subscriptions or donations that I make or will make until further notice. I confirm that I pay at least as much UK Income or capital gains tax as will be reclaimed by all charities on my donations in each tax year (currently 25p for every £1 you give) but will advise the Society if and when this should not be the case. Registered Charity No 313202.

Please arrange bank transfer of your subscription to:

The Anglo-Danish Society, NATWEST, Tunbridge Wells Branch

Account No: 78325285

Sort Code: 55 70 13

(Swift Code: NWBKGB2 IBAN Code: GB43NWBK55701378325285)

Using for reference surname and postcode

For future annual subscription payments every 1st January, please instruct your bank directly to set up a Standing Order

Confirmation

I confirm that I have set up an annual repayment Standing Order

I have read the privacy policy

Should you have any membership related queries, please feel free to contact our Honorary Membership Secretary, Philip Waterfield, via hon.membershipsecretary@anglo-danishsociety.org

If you wish to set up a Standing Order via a paper copy, please contact info@anglo-danishsociety.org.uk

Date

Signature