Membership Application Your Name (required) Please Tick applicable box Individual Membership (suggested donation £25)Family Membership (two adults & two family members 18 or under - suggested donation £40)Corporate Membership (You decide the level of your donation. The average is £50 and some pay much more.) Boat Name For Corporate Membership - Your Business Name Your Address Your Postcode Your Telephone Number Your Email (required) GIFT AID FORM – Boost your donation by 25p of Gift Aid for every £1 you donate Gift Aid is reclaimed by the charity from the tax you pay for the current tax year. Your address is needed to identify you as a current UK taxpayer. In order to Gift Aid your donation you must tick the box below: Gift Aid - YesGift Aid - No I want to Gift Aid my donation of and any donations I make in the future or have made in the past 4 years to: Name of Charity BLAKENEY HARBOUR ASSOCIATION 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 donations in that tax year it is my responsibility to pay any difference. Please notify the charity if you: • Want to cancel this declaration • 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. Your Details Title (required) Initials / First Name (required) Surname (required) Address Postcode Date HOW TO PAY: Before submitting the form below, please make a bank transfer to TSB: Sort code 30-94-34 Account No: 21707768 and then press the send button below. Please use your SURNAME as a reference if paying direct to the bank. If you would like to pay by standing order you have to send the standing order form by post. To do this please print the standing order form HERE and return to the address on the bottom of the form.