Please enable JavaScript in your browser to complete this form.First Members Name *FirstLastAre you new (first time member) or renewing membership for Westcliff Rugby Football Club? *NewRenewalDate of Birth *Non-Playing Membership type (Optional)Volunteer and Helpers who assist with running the ClubSupporters who help the Club raise funds and provide a pool from which the volunteers are drawnParent/Guardian of junior membersPeople who still want to be associated with the Club but for reasons of age and/or ill health are no longer able to playThe Club will face new rules if the organisation structure changes and the above are exemptions which allows Non-playing members to keep their votes if we are to become a charitable organisation. If possible and correct, please select one of the above. By doing this you will be asssiting the Club in its operation by reducing future work load.Add Another PersonTick Yes to addSecond Members Name *FirstLastDate of Birth (2nd Member) *Non-Playing Membership type (Optional) (second person)Volunteer and Helpers who assist with running the ClubSupporters who help the Club raise funds and provide a pool from which the volunteers are drawnParent/Guardian of junior membersPeople who still want to be associated with the Club but for reasons of age and/or ill health are no longer able to playThe Club will face new rules if the organisation structure changes and the above are exemptions would allow Non-playing members to keep their votes if we are to become a charitable organisation. If possible and correct, please select one of the above. By doing this you will be asssiting the Club in its operation by reducing future work load.Contact Phone No. *Primary Email *Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeMembership Subscriptions, Donations & Gift Aid Select Membership Required *Please selectStanding Order £11/m per Non Playing Member1 Non-Playing Member (£110)2 Non-Playing Members (£170)Exempt Membership1 Exempt Member + 1 Non-paying Membership (£110)Membership fees are waived (Exempt) in cases of the President, Life Membership and Hon Vice President awards and other Executive Committee approved positions. However it would be appreciated if these positions donate to the Club. Standing order for a single non playing membership is £10 per month.Make a Donation to the Club (Optional) *Yes / No ?NoYes (£25.00)Yes (Other)Donations will be used to help with the running of the Club and improve the rugby club grounds and facilities. Your donation (£) *Please enter your donation valueTotal£ 0.00Community Amateur Sports Club (CASC) Gift Aid for Westcliff Rugby Football Club Limited (Optional)Yes, I want to Gift Aid my donationNo, thank youIf 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 differenceHigher 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 LimitedPlease 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.PaymentPayment 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: 00026636Standing Order £11 per month per paying memberOtherPlease 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/Membership CardsWestcliff RFC is in the process of developing a membership card system that will provide discounts and benefits to members who accept its terms and Conditions. Terms and Conditions for the card can be found below: We would like to highlight that acceptance of the cards Ts&Cs will allow us to contact you to provide details of club promotions, events and any available discounts. This would also allow us to send information from our Club Sponsors to you, which ultimately will help the Club raise funds for our further development. You may, at any time, stop the emails by clicking on the Unsubscribe link at the bottom of the message. All parties involved will adhere to the Clubs Privacy Policy. Membership Card Terms and ConditionsI wish to receive a Membership Card upon their launch and I agree to the Terms & Conditions *Yes and I/we AgreeNo thank youDeclaration of ConsentClub 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, Dinner 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 *Clear SignaturePlease 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) *Captcha * = Please enter your answer in the box above. Please remember "*" is multiply and "/" is divide.Submit