Membership Application Form

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 WestScottishSouthernWest MidlandsYorkshire and North WestNo branch
Payment The Society's preferred method of payment is by Standing Order. On submitting this form you will be re-directed to the payments page where all payment details can be viewed. For new members paying by Standing Order subscriptions are not due until 1 January.
Please select one of the following. *
Standing OrderChequeBank TransferCredit/Debit CardPayPal
Where did you learn about the Elgar Society?
Gift Aid Declaration (UK taxpayers only) Name of Charity: The Elgar Society
TREAT ALL GIFTS OF MONEY THAT I MAKE TODAY AND ANY DONATIONS I MAKE IN THE FUTURE OR HAVE MADE IN THE LAST FOUR YEARS AS GIFT AID DONATIONS.
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.
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.

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Membership Application Form

Application for Membership

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