New Membership Form - The Royal British Legion

The Royal British Legion Membership
Application Form
Registered Charity No 219279
For office use only
MS4/RMFAPP001/0415
SECTION A
Personal details Must be completed in BLOCK CAPITALS by applicants. Please tick appropriate boxes.
If previously a Legion Member, please give your Membership No:
Mr
Mrs
Miss
Other
FORENAME(S)
SURNAME
POST NOMINALS
GENDER
M
F
OTHER
DATE OF BIRTH
D D
M M
Y Y Y Y
FLAT / HOUSE NO / NAME
STREET
TOWN
COUNTY
POSTCODE
BFPO
COUNTRY
Please enter at least one phone number
and include your area code and
international code where applicable.
HOME TEL
MOBILE TEL
EMAIL
If you are happy to receive your annual membership renewal notification via email instead of by post, please tick the box.
The Legion magazine is available to download from www.britishlegion.org.uk. If you do not want to receive a copy of the Legion Magazine via post,
please tick the box.
Youth Members Only
All members between the ages of 12 to 16 (inc) years will be enrolled automatically as Youth Members. Full membership will commence from the age of 17.
If you are signing up as a Youth Member please ask your parent / guardian to sign below.
Youth Member
PARENT/ GUARDIAN’S
FULL NAME
SIGNATURE OF
PARENT/ GUARDIAN
SECTION B
Active service (To be completed by Serving or ex-Service applicants.) Please tick appropriate boxes.
I am currently Serving
in the Armed Forces
SECTION C
Have Served in
the Armed Forces
RN
RM
ARMY
RAF
Volunteer Reserve
To be completed by the Branch Official.
BRANCH NAME
BRANCH NUMBER
B R
CLUB NUMBER
C L
This member has also been accepted into
CLUB NAME
(Print name)
BRANCH OFFICIAL
DATE
D D
M M
Y Y Y Y
SIGNATURE
SECTION D
Voluntary annual donation
GBP
Euro
I would like to make an annual donation to the Benevolent Fund of:
I would like to make an annual donation to the General Fund of:
1
1
5
10
20
Other amount
The central Benevolent Fund incorporates the core activities of the Legion
such as operating Care Homes and Welfare Break Centres, giving grants,
providing resettlement training and acting as the custodian of Remembrance.
5
10
20
Other amount
The General Fund incorporates the transactions relating to the
administration of the membership of the Legion.
SECTION E Gift aid
SECTION F How we use your information
It is not mandatory but we would be most grateful if you would complete this section
if you are a UK tax payer. Gift Aid costs you nothing. It simply allows The Royal
British Legion to reclaim tax on your membership subscription and/or donations.
We really value your support and may send you information about goods and
services which we believe may be of interest to you by using your contact details
you have supplied above. The Royal British Legion and its trading subsidiary Poppy
Direct respect your privacy and will not share your information with any third
parties without your prior consent.
Gift Aid Declaration - for past, present and future membership subscriptions and
donations. Please treat as Gift Aid donations, all qualifying gifts of money made today,
in the past 4 years and in the future. I confirm I have paid or will pay an amount of
Income Tax 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 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 Royal British Legion will reclaim 25p of tax on every £1 that
I give on or after 6 Apr 2008.
Email If you would like to receive
email updates on our projects,
please tick the box.
Text If you are happy to receive text
message updates on our projects,
please tick the box.
Post If you would prefer not to receive
fundraising and campaign mailings,
please tick the box.
Phone If you are happy for us to phone
you, please tick the box.
Data Protection
SIGNATURE
Please also sign section G
Please notify The Royal British Legion if you: want to cancel this declaration / want
to 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.
The Royal British Legion is registered under the Data Protection Act, registration
Z5690050. Information on the use of personal data by The Royal British Legion is
available from The Royal British Legion, Haig House, 199 Borough High Street,
London SE1 1AA.
SECTION H Payment methods
All payments made to The Royal British Legion shall be received and processed on their
behalf by Charles Novacroft Direct Limited (registered number 03601214) whose registered
office is at Seebeck House, 1 Seebeck Place, Knowlhill, Milton Keynes MK5 8FR
Please tick if you wish to pay by direct debit (UK banks only) and fill in
the DD mandate below.
SECTION G Formal application
I understand that any voluntary donation I have agreed to (detailed in Section D)
will be collected when my subscriptions are first collected and thereafter annually
until I otherwise notify you. I accept and support the aims and objects of
The Royal British Legion. I understand that all members of the Legion have an
equally important and valued part to play in actively supporting those aims and
objects. I promise to use every endeavour to promote the comradeship and
service which is the keystone of The Royal British Legion.
We also accept cheques made payable to The Royal British Legion. Please include
one cheque per application and ensure the cheque covers all fees.
GBP
Euro
Cheque No
For a UK cheque please leave the last box empty
Account No
SIGNATURE
Sort Code
For a UK cheque please write in the following format 00-00-00
DATE
D D
M M
Y Y Y Y
•
Amount
Instruction to your Bank or Building Society
to pay by Direct Debit.
Charles Novacroft Direct Limited RE The Royal British Legion
Name and full postal address of your Bank or Building Society
To The Manager
Bank/Building Society
Service User Number
5
0
4
1
3
6
Reference
Address
Postcode
Names of the account holder(s)
Bank/Building Society account number
Instruction to your bank or Building Society Please pay Charles
Novacroft Direct Limited RE The Royal British Legion from the accounts
detailed in this Instruction subject to the safeguards assured by the Direct
Debit Guarantee. I understand that this instruction may remain with Charles
Novacroft Direct Limited RE The Royal British Legion and, if so, details will be
passed electronically to my Bank/ Building Society.
Signature(s)
Branch Sort Code
Date
Please fill in the whole form and send to: RBL Membership Applications and Payments, PO Box 1402, 9 The Lakes, Northampton NN1 9EX
This guarantee should be retained by the payer
Bank and Building Societies may not accept Direct Debit Instructions for some types of account.
The Direct Debit Guarantee
• This Guarantee is offered by all Banks and Building Societies that accept instructions to pay Direct Debits
• If there are any changes to the amount, date or frequency of your direct Debit Charles Novacroft Direct Limited RE The Royal British Legion will notify you
10 working days in advance of your account being debited or as otherwise agreed. If you request Charles Novacroft Direct Limited RE The Royal British Legion to collect a payment, confirmation of the amount and date will be given to you at the time of the request
• If an error is made in the payment of your Direct Debit, by Charles Novacroft Direct Limited RE The Royal British Legion or your bank or building society, you are entitled to a full and immediate refund of the amount paid from your bank or building society
- If you receive a refund you are not entitled to, you must pay it back when Charles Novacroft Direct Limited RE The Royal British Legion asks you to
• You can cancel your Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.
Why not join online?
Other ways to become a member...It’s easy, just click on... www.britishlegion.org.uk/membership
and follow the simple step by step instructions or call 0808 802 8080 or +44 (0)20 3376 8080 (if you
are calling from overseas) to speak to one of our advisers and apply over the phone.
Lines open 8am - 8pm 7 days a week.