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Application for Membership

Please complete the boxes as appropriate. Boxes and other items marked with asterisks (***) must be completed.

Title ***
Given Name(s) ***
Family Name ***
House Number or Name ***
Street ***
District
Town or City ***
County
Post Code ***
Country
Telephone Number
eMail Address ***
Today's Date ***

*** indicates this information is required.

Please tick here if you have been a member before and enter your old membership number here if you still have it to hand.

Our Data Privacy Notices can be read by following the link.

Please indicate your choice by selecting as appropriate below ***.

Please publish my name and full postal address in the Signalling Record and include it in any membership list published to members.
Please publish abbreviated details consisting of my name and town (or village) of residence only (e.g. Mr Smith of London).
Do not publish either my name or address in the Signalling Record. I accept that my details will be included in the list circulated to officers of the Society for the purpose of administration.

The Society may contact you by email on matters related to you membership rather than by post unless you specify otherwise. We would like to use your email address to also send you occasional emails about meetings, events etc., particularly when arranged at short notice, and other things likely to be of interest to members including sending you information about new books and publications, but to do so we must have your permission. Please select the appropriate entry to choose whether to be added to the list or not ***

Yes, please add me to the emailing list.
No, do not add me to the emailing list.

You may at any time withdraw or alter any or all of the permissions you’ve given, by notifying the Secretary of the changes you require.

If you wish to, please give a brief description of your interests or any research you are engaged in here ..

We are keen to know how you heard about us. If you wish to, please tell us below ..

 

Gift Aid - UK Taxpayers Only!

Charity Gift Aid Declaration (Multiple Donation)

Boost your donation by 25p of Gift Aid for every £ you donate.

Gift Aid is reclaimed by the charity from the UK tax you pay for the current tax year.

I wish to Gift Aid all donations / membership subscriptions I make now and any such subscriptions or donations I make in the future or have made in the past 4 years (but since 23 August 2018) to:

Name of Charity: The Signalling Record Society

I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my subscriptions and/or donations to charities and/or community amateur sports clubs in that tax year it is my responsibility to pay any difference.

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.

I will notify the charity if I:

  • want to cancel this declaration and/or
  • change my name or home address and/or
  • no longer pay sufficient tax on my income and/or capital gains

Please select (“tick”) the statement below if you are able to do so or tell us if you are unable to make the declaration for any reason. ***:

I am a UK taxpayer and I have read and understood the above statements regarding gift aid and I agree to you claiming gift aid on my donations and / or subscriptions.
Sorry, I am not able to gift aid my subscription.
(Select which statement applies.)

 

I have read the rules of The Society and agree hereafter to abide by them (please tick to confirm ***) and I hereby apply for membership of the Signalling Record Society.

Please select the payment method and amount from the list below ***:

I have sent my £30.00 subscription direct to the Society's bank account name “The Signalling Record Society”, number 01339088, sort code 30-94-70 with 'NMA' and my surname as the reference for my first year's membership. (UK resident)
I am paying by a sterling cheque drawn on a UK bank account for £30.00 payable to “The Signalling Record Society” (please do not abbreviate the name in any way). (UK resident)
I am sending you payment of £30.00 via PayPal (UK resident).
I am sending you payment of £40.00 via PayPal (Europe resident).
I am sending you payment of £45.00 via PayPal (World resident).
(Select which choice applies.)

Please CHECK you have filled everything in correctly, that all boxes and items marked with three asterisks (***) have entries in them, that you have ticked the box to confirm you have read the Society rules and, if appropriate, that you have ticked the box to confirm your agreement to our claiming the gift aid.

 

Signature (if printing and posting):……………………………………………    

 

Now please by electronic means. Once you have sent the form, BACS details and the link to PayPal will appear.

OR, if you wish to send us a cheque, please first by electronic means then pop your cheque in the post to the Membership Secretary whose name and address is shown below. Please include a brief note so he can match cheque to the form!

Steve Sharpe
SRS Membership Secretary
40 Ellis Peters Drive
Aqueduct
Telford
Shropshire TF3 1AW

A little reminder: The Membership Secretary can only start the process of admitting you into membership when he is in possession of both a completed application form and either a cheque or other confirmation of payment. As some aspects of the process rely on postal rather than electronic communication and actions by more than one Society Officer, there may be short delay before he receives all the relevant documentation.

 



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Page last modified Wednesday, 27th April, 2022, 16:55 hours.
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A Charitable Incorporated Organisation registered in England and Wales.
Registered Charity Number 1176506.