Apply for annual membership: single member, pay by debit or credit card When you have completed this form and pressed the submit button you will be transferred to our secure Paypal payment site to make your payment of £20. You do not need to have your own Paypal account. You can make a payment into our Paypal account using your debit or credit card, without logging in to PayPal.*TitleYour first nameYour last name Email* Address* Street Address City/Town postal code Telephone no* New member or renewal (please select)*RenewalNew memberGift Aid: about your declarationThe Regency Society can reclaim basic rate tax paid for the current tax year on your subscription provided you agree and are a tax payer. Please let the the Regency Society know if at any time in the future you want to cancel this declaration, or if you change your name or postal address or no longer pay sufficient tax on your income or capital gains.If you pay Income Tax at the higher or additional rate you are personally entitled to receive the additional relief on your subscription. To claim this relief 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 declaration: I want to Gift Aid my membership payment and any payments I make in the future to the Regency Society of Brighton and Hove. 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. I have read 'about your declaration' above. Please choose an option below:*I would like to Gift Aid my payment No thankyou, I do not want to Gift Aid my paymentYour paymentWhen you click the button below you will be transferred to our Paypal page. You can either log in to pay using your Paypal account if you have one, or continue as a guest and pay by credit or debit card. Amount (£) Transfer to payment pageReset