Join or Return to Membership – Dev page

Application *

I am applying to be a new member
I am a returning member

Name *

First

Last

Address (Line 1) *

Address (Line 2)

Town / City *

Overwrite if not Edinburgh

Postcode *

Email *

Email

Confirm Email

Please provide your contact number(s)

Annual subscription rates – select which applies *

Individual membership – £10.00
Household membership – £15.00

Add: Voluntary donation

I have made / will make payment(s) as: *

a Standing Order to renew membership annually on 01 February
a single internet banking payment
a cheque sent to the Membership Secretary

See ‘Payment details’ below for bank details and address for cheques

Gift Aid Declaration (optional)

I pay Income Tax at least equal to the tax that the Association will reclaim on my subscriptions and donations. I shall notify the Association if this ceases to be the case.
I would like the Association to treat all subscriptions and donations I have made in the last four years and from this date onwards as Gift Aid Donations until I notify you otherwise.

Please tick both boxes to indicate your agreement

Data Protection (GDPR) – To be completed by all new members to ensure you can access benefits and receive communications from the Association: I agree to the Grange Association storing the data I supply here to provide me with relevant information and to validate my membership and AGM voting rights at Association events.

Name and address
Email address
Telephone number(s)

Leave ticked to indicate your agreement

Comments

Sort code:	Account no.:	Account name:
80-02-73	06002426	The Grange Association

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