Membership Application Form

Statutory fields marked*

"*" indicates required fields

PLEASE NOTE: This form cannot be saved. If you wish to keep record of your form, please print once completed.
Name*
Address*
A second member living at the same address may join at a reduced rate (Joint membership. One mailing).
I wish to belong to the following branch(es) of the Society (two may be chosen).*

Gift Aid

The Elgar Society (Charity no. 298062) PLEASE TREAT ALL GIFTS OF MONEY THAT I MAKE TODAY AND ANY DONATIONS I MAKE IN THE FUTURE OR HAVE MADE IN THE LAST FOUR YEARS AS GIFT AID DONATIONS. I AM A UK TAXPAYER, AND I 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.
Declaration
DD slash MM slash YYYY
You must inform the Elgar Society if you: (i) Wish to cancel this declaration (ii) Change your name or home address (iii) No longer pay sufficient tax on your income and/or capital gains. You must pay an amount of Income Tax and/or Capital Gains Tax for each year (6th April one year to 5th April the next) that is at least equal to the amount of tax that the Elgar Society will reclaim on your gifts for that tax year. The Elgar Society will reclaim 25p on every £1 that you give. If you pay Income Tax at the higher rate, you must include all of your Gift Aid donations on your Self Assessment tax return if you wish to receive the additional tax relief due.
Declaration
This field is for validation purposes and should be left unchanged.