Bridgend University of the Third Age
Charity No 1080658

Membership/Renewal Form
Subscription for Year: April 2010 to March 2011

Please use capitals

Title

 

Forename

 

Surname

 

Address

 

Postcode

 

Tel. No.

 

Email

 

The annual membership fee from April 2010 to March 2011 is £20.00. If joining mid-year, the fee is reduced by £5.00 per whole quarter missed, e.g. if joining in August 2010, the membership fee is £15.00.

I enclose a cheque for £............. made payable to Bridgend U3A.

Signature

 

Date

 

By signing this form I give permission for my details to be kept on computer for the use of the U3A only.

Please complete and return, before 31st March if possible, to the Honorary Treasurer:

Mrs Olive Manning, 97 Tremains Court, Brackla, Bridgend CF31 2SS
Tel: 01656 662191

To help plan future groups it would be useful if you could indicate your main interests:

 

Would you be willing to run/help run a group?  Yes / No

 

Gift Aid Declaration

If you are a current tax payer and have not already completed a Gift Aid Declaration, will you please consider doing so. It will cost you nothing but Bridgend U3A will benefit by way of a tax refund currently amounting to £5.00.  This addition to our funding helps substantially in keeping our subscription costs down. No specific personal details are required, only the declaration that you are a current tax payer and that you are paying more tax than is being reclaimed.

Details of donor

Title

 

Forename

 

Surname

 

Address

 

Postcode

 

Tel. No.

 

Email

 

 

 

I want the charity to treat

  • the enclosed donation of £……….
  • the donation(s) of £………. Which I made on ….. / ….. / …..
  • all donations I make from the date of this declaration until I notify you otherwise
  • all donations I have made from 6th April 2000, and all donations I make from the date of this declaration until I notify you otherwise,

as Gift Aid donations.

Delete as appropriate

Dated …………….……………..
 

Notes:

You must pay an amount of income tax and/or capital gains tax at least equal to the tax that the charity reclaims on your donation in the tax year (currently £28p for each £1 you give).

  • You can cancel this declaration at any time by notifying the charity.
  • If in the future your circumstances change and you no longer pay tax on your income and/or capital gains equal to the tax that the charity reclaims, you must cancel your declaration (see note 1).
  • If you pay tax at the higher rate you can claim further tax relief in your Self Assessment tax return.
  • If you are unsure whether your donations qualify for Gift Aid tax relief, ask the charity. Or ask you local tax office for leaflet IR65.
  • Please notify the charity if you change your name or address; you do not have to complete a new declaration.