Membership: pay by card: joint: 1 year

Apply for one year membership: joint members, 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 £33. 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. First member details:*

Title

Your first name

Your last name

Second member name:*

Title

First

Last

First member email*

Second member email (if different)

Address*

Street Address City postal code

Telephone no*

New membership or renewal (please select)*

Renewal

New membership

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Gift Aid: about your declaration

The 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:

We want to Gift Aid our membership payment and any payments we make in the future to the Regency Society of Brighton and Hove. We are UK taxpayers and understand that if we pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all our donations in that tax year it is our responsibility to pay any difference. We have read 'about your declaration' above.

Please choose an option below:*

We would like to Gift Aid our payment

No thankyou, We do not want to Gift Aid our payment

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Your payment

When 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 (£)

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