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Membership Application Form

Membership Type:
1st November 2016 until further notice

Ordinary - £22.00     Family - £23.00    
Under 19 - £20.50    

Title: 
Forename: 
Surname: 
Address Line 1: 
Address Line 2: 
Town/City: 
County/State: 
Postcode/ZIP Code: 
Country: 
*Telephone Number: 
*Email Address: 
*Occupation: 
Age (for under 19 rate): 

*Where did you first hear about the Southern Electric Group? Or please quote membership number if renewing  :

Voluntary donation towards preservation activities:   £
Postage: 

Gift Aid

Giftaid
Boost your donation by 25p of Gift Aid for every £1 you donate Southern Electric Heritage Limited may reclaim Gift Aid from the tax you pay for the current tax year. Your address is needed to identify you as a current UK taxpayer.

Declaration:

I want to Gift Aid my voluntary donation towards preservation activities (the amount will be automatically filled in from your membership application form) and any donations I make in the future or have made in the past 4 years to Southern Electric Heritage Limited.

  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.

Your name and address details will be automatically filled in from your membership application form.

Please notify the charity or CASC if you:

  • want to cancel this declaration
  • change your name or home address
  • no longer pay sufficient tax on your income and/or capital gains

If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, 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.

Confirmation:

Before continuing, please read the Group's constitution

Print & Post

Please review your form by pressing the below button, the completed form can then be printed out from the review page.

 

Please print the form and forward the completed application by post, along with a cheque made payable to 'Southern Electric Group', to:

Membership Secretary
Southern Electric Group
12 Heatherdale Close
Kingston upon Thames
Surrey
KT2 7SU
United Kingdom

Information

*Please note that information under these headings is not stored on computer files. Information stored on computer files contains name, address and membership renewal details only.

Southern Electric Heritage Limited: A company registered in England (no. 3499370).
Registered office: 30 Bealing Close, Southampton, SO16 3AX.
Charity number: 1102973.