LOA Membership Application Form v1.0

Lincolnshire Organist Association Membership Application
Standard Annual fee: £15.00

Students and under 18's Annual fee £7.50
Date*

DayMonthYear
Date
Title*
Name*

First NameLast Name
Email address*
example@example.com
Address*

Street Address

Street Address Line 2

CityCounty

Postal Code
Phone Number

Area CodePhone Number/Mobile Number
Membership

AdultStudentEx Oficio
Annual membership Fee
Our members receive a discount on the IAO Organists Review subscription.

Free access to all the LOA events
If you would like to include a donation towards our Grant/Awards scheme fund please state the amount here
Is the donation...*

One-off donationRegular paid with annual subscription
Able to Gift Aid the donation?*

Not eligablePlease Gift Aid it
You simply need to have paid or will pay an amount of income tax and/or capital gains tax that is at least equal to the tax that LOA and other charities and Community Amateur Sports Clubs you donate to will reclaim on your donations in a tax year.
A Gift Aid declaration form will be sent for you to sign.

We will need this form returned before we are able to claim the gift aid.

Once the gift aid is received, it will be allocated to the same fund as the donation.

The current rate is 25%, therefore if you donate £20, we will receive £5 as gift aid, making your total donaton to £25
Total Due
Consent for communication and holding of personal data*

I am happy to receive information regarding LOA events by EmailI am happy to receive other information of relevant interestNo Thank you, I do not wish to be contacted my EmailI prefer to be informed by postI consent for my personal data to be held on a computer whilst I am a member
Do you hold an organist post or connected with a church/Chapel? (Optional)
(This is not a requirement for membership)
Membership is from September to August and renewed annually.

If Joining within 6 months prior to September - your subscription will be from 01/September that year.

If joining September-February - your subscription will be from the 01/September (Current membership year)
Payment by:*

Standing Order (preferred method)Bank TransferCheque
Payment by Bank transfer

Bank Name: Lincolnshire Organists Association

Sort Code: 77-16-01

Account No: 00011601

Paid on the current date, then Annually 1st September

Suggested ref: LOA first name last name
Payment by Standing Order

If joining after September - make a Bank Transfer as the initial subscription then create the standing order as below.

Bank Name: Lincolnshire Organists Association

Sort Code: 77-16-01

Account No: 00011601

Paid Annually 1st September

Suggested ref: LOA first name last name
Payment by Cheque

Made Payable to: Lincolnshire Organists Association
Signature*

Clear

Lincolnshire Organist Association Membership Application