Membership Application Form • The Elgar Society

Statutory fields marked *

Application for Membership

PLEASE NOTE: This form cannot be saved. If you wish to keep record of your form, please print once completed.
Title *
Foreneme(s) *
Surname *
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Phone *
Email *
Name of second member. 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). *
East AnglianEast MidlandsLondonNorth AmericaNorth WestScottishSouthernSouth WesternWest MidlandsYorkshire and North WestNo branch
Payment Please select one of the following. Full details of all payment and subscription options can be accessed through the Membership menu.
Payment options *
Standing OrderPersonal ChequeOnline Bank TransferCredit/Debit CardPayPal
Where did you learn about the Elgar Society?
Gift Aid Declaration (UK taxpayers only) Name of Charity: The Elgar Society
Please treat all gifts of money that I make today and in the future as Gift Aid donations.
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 year.
Title
Initials
Surname
Home address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Please notify the Elgar Society if you wish to cancel the declaration, change your name or address or no longer pay sufficient tax on your income and/or capital gains. 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. The Elgar Society will reclaim 25p of tax on every £1 you give.

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The Elgar Society 2018

Registered Charity 298062

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