Membership application / Renewal form

Membership Application / Renewal Form

GRAPES HILL COMMUNITY GARDEN GROUP
Name*

First NameLast Name
Organisation/Company name (Group membership only)
Address*

Street Address

Street Address Line 2

CityCounty

Post code
Email*
example@example.com
Phone number (preferably a mobile)*
If you are a new member, how did you hear about us?

From a friendSocial mediaSearch engine, eg GoogleFrom another charity or similar organisationOther
Can you let us know which benefit(s) of membership you are interested in (you can select more than one option)?*

Attending events and workshopsVolunteering in the gardenLearning about gardeningMeeting people and socialisingReceiving our newsletterRenting one of the raised beds in the gardenOther
Are you interested in volunteering with us? If yes, please indicate which area(s) you are interested in (you can select more than one option).*

I am interested in volunteering for gardening and/or general maintenance workI am interested in helping out at events and workshopsI may be able to provide administrative, marketing and/or IT supportI am interested in becoming a Trustee and/or joining the GHCGG CommitteeNo, I am not interested in volunteeringOther
We have three different types of membership, please select which one you are applying for:*

Individual unwaged MembershipIndividual waged MembershipGroup Membership

Membership fees

Membership runs from 1 January to 31 December and you can join at any time. Your membership fee will be depend on when you join.

Type of membership	Renew/Join 1 Jan-30 Jun	Join 1 Jul-31 Dec
Individual unwaged	£3	£1.50
Individual waged	£10	£5.00
Group	£15	£7.50

How much is your membership fee?*
How to pay

Bank transfer
ACCOUNT NAME: Grapes Hill Community Garden Group
SORT CODE: 08-92-99 | ACCOUNT NUMBER: 65330773
PAYMENT REFERENCE: Your name and GHCGG Membership

Cheque
PAYABLE TO: Grapes Hill Community Garden Group
SEND TO: GHCGG, 17 Constable Road Norwich, NR4 6RW
Signature for membership*

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Date*

DayMonthYear
Date
Boost your donation by 25p of Gift Aid for every £1 you donate (optional, only for individual members)
In order to Gift Aid your donation (the membership fee indicated above), you must tick the box below:

I want to Gift Aid my donation (membership fee)
Gift aid declaration

I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for the current tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities that I donate to will reclaim on my gifts for the current tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 25p of tax on every £1 that I have given.
Your name and home address is needed to identify you as a current UK taxpayer. You can write 'as above' but please make sure we have your HOME post code:
Your name and home address if different to above
Signature for gift aid

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Data protection: The Data Protection Act requires organisations or agencies collecting personal data on individuals to gain their consent before collecting, storing, publishing or analysing their data. By completing and signing this form for membership of Grapes Hill Community Garden Group (GHCGG), you are giving your consent for your data to be stored and used by GHCGG. All data will be treated with the strictest confidence and will only be used for legitimate GHCGG purposes, see our Privacy Policy. You will automatically be added to our email subcriber list, you can unsubscibe at anytime.
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Membership Application / Renewal Form

Boost your donation by 25p of Gift Aid for every £1 you donate (optional, only for individual members)