Great Dane Adoption Society Membership

Name:   
Address line 1:   
Town/City:   
County:   
Postcode:   
Home Telephone   
Mobile Telephone   
Email address   

Payment method ( please tick as appropriate)

  ___  Cheque   ___  Standing Order
Please print this form and send it together with your cheque for £15 (made payable to GDAS) or your completed standing order form to The Membership Secretary, GDAS, 2 Lawling Cottages, Steeple Road, Latchingdon CM3 6JZ

Did you know that you can make your donation worth almost a third more at no extra cost to you!

If you are a UK tax payer we can claim back from the government  the tax you’ve already paid. Meaning every £1 you give is worth £1.28 to us! This is called Gift Aid (see notes below).

Gift Aid Certificate

I confirm that I pay income tax in the UK and I wish G.D.A.S to reclaim tax on all my subscriptions/donations until I notify you otherwise.
Signature __________________________________   Date ______________

Notes on Gift Aid Certificate

  1. You must pay an amount of income tax and/or capital gains tax at least equal to the tax that the charity reclaims on your donations in the tax year (currently 28p for each £1 you give).
  2. You can cancel this declaration at any time by notifying the charity.
  3. If, in the future, your circumstances change and you no longer pay tax on your income and capital gains equal to the tax that the charity reclaims, you can cancel your declaration (see note 1).
  4. If you pay tax at the higher rate you can claim further tax relief in your Self-Assessment tax return.
  5. If you are unsure whether your donations qualify for Gift Aid tax relief, ask the charity or ask your local tax office for leaflet IR65
  6. Please notify the charity if you change your name or address.

Standing Order Form
Account Name:   
My Address

 

 

   
Bank name and address

 

 

   
Account number   
Sort Code   
I wish to make an annual payment in respect of membership by standing order in the following amount £15.00 (Fifteen pounds sterling)  
To be paid on (date)   
(Please allow 28 days before making initial payment) and on the same day each successive year until I notify you otherwise.  
Please pay to:

Natwest Bank
The Boulevard
Crawley
West Sussex
RH10 1GL
To the credit of The Great Dane Adoption Society

Sort Code:  60-06-20
Account Number:  . . . . 1087 

Signature   _________________________________________________