EPPING UPPER CLAPTON
RUGBY FOOTBALL CLUB
Founded 1879
I wish to apply for membership as a Non- Player/Ex-Player & Parent(please delete as appropriate) of your club and submit the following particulars for the consideration of the committee.
Surname:……….………………………….. Forenames:……………………………………
Address:………………………………………………………………………………………..
Postcode:………………………………….. Telephone :………………………………………
E-mail:…………………………………….. Mobile No:……………………………………..
Occupation:……………………………….. Employer:…………………………………......
Previous Rugby Club Memberships: ………………………………………………………….
How introduced to UCFC: ……………………………………………………………………
Signature of applicant:……….………………… Date of birth:…………………………….
Proposed by:……………………….....………… Signature:………...……………………..
Seconded by:…………………………….……… Signature:…………...………………......
I would like to treat any donation to the to the club as qualifying for Gift Aid and confirm that I have paid or will pay income/or capital gains TAX at least equal to the amount the club will reclaim on the donation YES/NO
Subscription: £36.00 (including VAT)
Donation of (you can donate more if you wish) £14.00
Cheques Enclosed/standing order (separate form) £50.00
Note if you bank online, please amend your current standing order
If you wish to create a new standing order online please use your name as reference
Plus start date should be 1st of the next calendar month thereafter 1st September 2014
Or you can pay by Credit/Debit card/Cash over the bar
Cheque Enclosed Yes/No
Standing order (please return with membership form Yes/No
Internet bank Transfer Yes/No
Please send this form with your subscription to: The Membership Secretary c/o Epping UCRFC, Upland Rd, Thornwood Common, Epping, Essex CM16 6NL or create via online banking.
UPPER CLAPTON FOOTBALL CLUB
Founded 1879
Gift Aid declaration – for past, present & future donations
Please treat as Gift Aid donations all qualifying gifts of money made
Today In the past 4 years & in the future
I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities or Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 28p of tax on every £1 that I gave up to 5 April 2008 and will reclaim 25p of tax on every £1 that I give on or after 6 April 2008.
Donor’s details
Title ------First name or initial(s) ------
Surname ------
Full home address ------
------
Postcode ------
E-Mail Address------
Date ------
Signature ------
Please notify the charity or CASC 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.
Please return this document to
The Membership Secretary
UCFC
Upland Rd
Thornwood Common
Epping,
Essex
CM16 6NL
Upland Road, Thornwood Common, Epping, Essex CM16 6NL. Telephone: 01992 572588
Affiliated to The Rugby Football Union, Middlesex County Rugby Football Union and The London Society of Referees.
Associate Member of Essex County Rugby Football Union
www.EppingUCRFC.com