Longparish Community Association

Group Affiliation

Affiliate membership is open to voluntary and non-profit organisations based in Longparish and wishing to support the aims and activities of the Community Association. Please fill in this form and return it to the Membership Secretary.

Individual Membership

This form is available as a PDF, or you can fill it in online and use the Print button at the bottom.

Application for Annual Membership

Date:

Name of applicant(s) in household Category (please tick)
  Full Associate  
  Adult Junior Adult Junior  
£1
£1
£1
£1
£1
£1
£1
Total membership(s) £
  * Donation         £
  Grand Total £

Tel: email:

* People who pay income or capital gains tax can help Longparish Community Association by signing a Gift Aid declaration which allows it to claim back 28p for each £ you give as donation.

See over for details.

Note: your details will be confidential and kept for the use of LCA only.

March 2006

Gift Aid Declaration

Charity name: Longparish Community Association

Donor’s name:

Address

Post Code

I want the charity to treat all donation I have made since 6 April 2006, and all donations I make from the date of this declaration until I notify you otherwise as Gift Aid donations

Signed   Date

Notes

  1. Please notify Longparish Community Association if you change your name and address
  2. You can cancel the Gift Aid declaration at any time by notifying Longparish Community Association. The declaration will then not apply to donations you make on or after the date of cancellation, or from any date you specify.
  3. You must pay an amount of income tax and/or capital gains tax at least equal to the tax that Longparish Community Association reclaims on your donation in the tax year (currently 28p for each £1 you give)
  4. If your circumstances change and you no longer pay tax equal to the tax that Longparish Community Association reclaims, you must cancel your Gift Aid declaration by informing us.
  5. If you pay tax at the higher rate you can claim further tax relief in your Self Assessment tax return.
  6. If you are unsure about your donation qualifying for Gift Aid tax relief, ask Longparish Community Association or ask you local tax office for leaflet IR 113 Gift Aid.

Please return this form to the Membership Secretary, Christine Beresford at 3 Woodwalk Cottages, Longparish.

March 2006

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