WESTERHAM
/ MEMBERSHIP APPLICATION FORM

Please complete your details in capital letters.

Surname ……………………….…… First name(s) ……………….………………….

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

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

Postcode ………………………. Telephone no. …………..…………………………..

E-mail address (please write clearly in large letters on the line below)

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

  • I understand that Westerham U3A is an educational charity, run by its members who are all volunteers. It works for the benefit of people in the Westerham area, and others who may live further afield.
  • I wish to apply for membership for the current year and I enclose a cheque for £20.00 made payable to Westerham U3A.
  • I agree to abide by the rules of the organisation
  • I am not in full-time paid employment
  • I understand that these details will be held on a computer database and will be printed in a membership list which is available only to the Committee, to members of the Extended Committee, and for printing of labels used in distributing the Westerham U3A newsletters.

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

A copy of the Accounts is available from the Treasurer.

A copy of the Constitution is available on application to the Secretary.

Gift Aid declaration – for past, present and future donations

Name of Charity:

Westerham U3A

Please treat as Gift Aid donations all qualifying gifts of money made

todayin the past 4 yearsin the future

Please tick all boxes you wish to apply.

I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6th April to 5th 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 25p of tax on every £1 that I give on or after 6th April 2013.

Donor’s details

Title ………….First name or initial(s) …………………………………………..

Surname ……………………………………………………………………………………

Full home address ………………………………………………………………………..

……………………………………………………………………………………………….

Postcode ………………………………………..

Date ……………………………………………..

Signature …………………………………………………………………………………..

Please notify Westerham U3A 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.