Car_Sticker_4b87c19582a23[1]SETTLE DISTRICT U3A        ENROLMENT FORM    

Session July 2019 – June 2020   Membership number (if known)……….………

 

Title………. First name ………………………… Surname ………………………………………….

 Address ………………………………………………………………………………………………………..

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

Post code ………………………………..  Tel no ………………………………………………………..

E-mail (Please write this very clearly)

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

If you are currently a member of another U3A (other than WestNet  i.e. Bradford, Craven, Keighley or Ilkley U3As), please give its name

………………………………………………………………………………………………………......

(and deduct £3.50 from the Settle membership fee)

For 2018/19 the individual membership fee is £15 and joint membership for spouse/partner living at the same address is £29.

A donation in addition to the membership fee will be gratefully received.

Both amounts can be supplemented by a small donation of perhaps £5 per person.

 

Amount enclosed £…………              (Cheques payable to Settle District U3A) or I am paying       £…………               by bank transfer to

Settle District U3A     Sort Code 40 40 31    Account Number 21384406

Signing this form indicates that you accept the Data Protection Policy available from the committee or on the website at:- settledistrictu3a.org.uk/u3a/dataprotection.htm

 

Signed………………………………………………..……………..  Date ………………………………

 

Send the completed form and payment to the Membership Secretary, High Croft, Commercial Street, Settle BD24 9HP with a stamped addressed envelope if you wish to have your membership card posted to you.

Membership Secretary:  Keith Waterson

Email:  keith@thewatersons.org         Tel No. 01729 822311

 

Gift Aid declaration

Settle District U3A (registered charity number 1095635)

Your full Membership Fee is eligible for Gift Aid as a donation.  

 

Please complete the declaration below if you are a UK tax payer and are willing to enable us to claim back from HMRC, 25p in every £ of your payment. 

 

 

Your Gift Aid declaration

I want to Gift Aid this donation and any donations I make in the future or have made in the past 4 years to Settle District U3A. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year, it is my responsibility to pay any difference to HMRC.

 

Signed…………………………………………………………………….Date ………………………………

House No/Name……………………..……………………………..Post Code……………………..

 

 

 

 Please notify the Membership Secretary if you:

 

If you pay Income Tax at the higher rate, you must include all your Gift Aid donations on your Self Assessment tax return if you want to receive the additional tax relief due to you.

 

 

 

Members information is kept solely for use, where necessary, by Settle District U3A officials and Group Leaders on U3A business.

See our Data Protection Policy on the website at:-

www.settledistrictu3a.org.uk/u3a/DateProtectionStatement3.pdf

 

KW 23/05/19