Membership application form

Membership application for
The Royal British Legion, Market Harborough Branch
Please print out and fill in, this form and the attached Direct Debit / payment form. Return them both to:
Membership Secretary, RBL, Market Harborough Branch, 31 Rupert Road, Market Harborough, LE16 9LT

Surname ....................................................... .................................................. Title ..........................

Forenames ...................................................................................................... Marital Status.............

Sex .................. Date of Birth ........../........../......... Decorations ................................................

Address (unit if serving member of H.M. Forces) ..................................................

.........................................................................................................................

............................................................................................................... Postcode .....................

Telephone (home) ......................… (daytime) ...........…………Email .............................……………………

Service details (if applicable) Tick if still serving

Regiment/ Corps/ Service .................................................................................

Number .......................................Date of enlistment ......../......../...... Date of discharge ....../......./........

I wish to become a member of The Royal British Legion, Market Harborough Branch

Applicant's Signature: .................................................Date......../......../........

Membership Secretary's Signature....................................................Date........./........../............

Gift Aid Declaration:
Gifts from UK tax payers qualify for Gift Aid. By ticking the box and signing the declaration, you are allowing The Royal British Legion to reclaim the tax on your donation, increasing the value of your gift by almost a third.
  I confirm that I am a UK tax payer and the income tax and/or capital gains tax I pay will be at least equal to the tax
that the charity will reclaim on this gift. Please treat all donations I make to The Royal British Legion from 6 April 2000
until further notice as Gift Aid donations.

The Royal British Legion will hold and use the data you have supplied for administrative purposes and to keep you informed of its fundraising and other activities. We hope you will want to stay in touch with our work, but if you would
prefer not to receive future mailings please tick this box

From time to time The Royal British Legion may provide information to its related companies and to other charitable organisations for their use in seeking support. If you prefer that we do not disclose your details to other such organisations please tick this box

The Royal British Legion is registered under the Data Protection Act 1998, registration no G0131078. Information on the use of
personal data by The Royal British Legion is available from The Royal British Legion, 48 Pall Mall, London SW1Y 5JY.

Subscription Payment Form

The current annual subscription for Market Harborough Branch is £12.50 of which £11.00 is the RBL Affiliation fee (to cover the cost of Membership services and administration for the Legion as whole) and £1.50 towards the cost of running this Branch. The membership year is from 1^st October to 30^th September. If you join the RBL part way through the year, a full year’s subscription is still payable (pro rata payments are not accepted). Market Harborough levies a branch Joining Fee – a one off payment of £3.00.

For your convenience and to reduce administrative costs, we strongly recommend payment by Direct Debit by completing the form below. However, you may pay by cheque or cash.

Please tick below	I wish to pay the £15.50 (£12.50 + £3.00 joining fee) by
	Direct Debit & have completed the form below.
	Cheque payable to The Royal British Legion, herewith.
	Cash herewith. (not through the post please).
Signed………………………………………….Date…………………………