Non-Players Membership Form

First Members Name *

First

Last

Add Another Person

Tick Yes to add

Second Members Name *

First

Last

Contact Phone No. *

Primary Email *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Membership Subscriptions, Donations & Gift Aid

Select Membership Required *

Membership fees are waived in cases of the President, Life Membership and Hon Vice President awards and other Executive Committee approved positions.

Make a Legacy Fund Donation (Optional) *

The Clubs current fund raising drive is for the Legacy Fund. The fund will be used to provide security for future rugby player generations by extending the lease of the rugby club grounds and facilities. The current lease runs out in 2045 and we wish to extend this to 2075

Your donation (£) *

Please enter your donation value

Total

£ 0.00

Community Amateur Sports Club (CASC) Gift Aid for Westcliff Rugby Football Club Limited (Optional)

Yes, I want to Gift Aid my donation
No, thank you

If eligible, Gift Aid can boost your donation by 25p for every £1 donated.

Gift Aid Eligability & Commitment *

Yes, I am a UK taxpayer and I understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all of my donations in that tax year it would be my responsibility to pay any difference

Higher or additional rate payers who want to receive additional tax relief due to you should include all Gift Aid donations on you Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.

My Future Donations to Westcliff Rugby Football Club Limited (Optional)

I want to Gift Aid my future donations to Westcliff Rugby Football Club Limited

Please notify the CASC if you want to cancel the declaration; changed your name or home address, or no longer pay sufficient tax on your income and/or capital gains.

Payment

Payment Type *

Cheque (Payable to Westcliff Rugby Football Club Ltd and sent to the Club FOA: Membership Secretary)
BACS Bank Transfer: Sort code 30-94-26 and Account: 00026636
Standing Order £6 per month per paying member
Other e.g. Standing order and separate donation

Please write your name on the reverse side of cheques used to make payments. Standing Order forms can be found on the club website on the Documents and Forms page: https://westcliffrfc.co.uk/documents-and-forms/

Declaration of Consent

Club e-News Letter (Optional)

I give my consent

I give my consent for the club to send me "The Westcliff Word", the club e-News Letter via Mail Chimp which contains news, events, and links to sponsors websites. Mail Chimps privacy policy can be found by following the link: https://mailchimp.com/legal/privacy/ the news letter will also be published on the clubs website, and your consent can be removed at any time by selecting the Unsubscribe link on the publication, or by contacting the Clubs Data Officer.

Club Lunch, Dinnner and Other Event Notifications (Optional)

I give my consent

I give my consent for the club to send me notifications via e-mail of planned lunches, dinners and other events Events will also be published on the clubs website, and your consent can be removed at any time by contacting a member of the Clubs Hospitality team.

Signature *

Please draw your signature on the touch screen or by using the mouse. When using a mouse, hold down the left button to draw. You can start again by clicking on the x in the top right corner.

Todays Date (dd/mm/yyyy) *

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