Individual Subscription (minimum)£Unwaged Subscription (minimum)£U18 Subscription (minimum)Family subscription (minimum)£Life Subscription£Your DetailsFirst Name *Last Name *1st line of address *2nd line of addressPost Town *Post Code *CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweE-mail Address *Preferred Phone No.May we contact you? *NoYesMay we contact you using the details you have provided, e.g. to send periodic email newsletters, annual subscription reminders etc.?Contact preferencesE-mailPostTelephone/text messagePlease indicate how you would like us to contact you.Your name and contact details will be stored on our Mailchimp account. You can find their GDPR-compliant privacy policy here.You have not yet given us your e-mail address: please add it in the section above.You have not yet given us your telephone number: please add it in the section above.Are you eligible for a reduced Unwaged subscription?NoYesAdditional MembersDo you wish to add additional members of your household? *NoYesNumber of additional adults over 18Number of additional children under 18Total number in householdAdditional member detailsPlease give the names of the adults you wish to add.First Name *Last Name *Is this person eligible for a reduced Unwaged subscription?NoYes2nd Additional member detailsPlease give the names of the adult you wish to add.First Name *Last Name *Is this person eligible for a reduced Unwaged subscription?NoYes3rd Additional member detailsPlease give the names of the adult you wish to add.First Name *Last Name *Is this person eligible for a reduced Unwaged subscription?NoYes4th Additional member detailsPlease give the names of the adult you wish to add.First Name *Last Name *Is this person eligible for a reduced Unwaged subscription?NoYesTotal number unwagedMembership TypeYour subscription choicesSouth Brent Old School Community Centre is a member-based organisation. All subscriptions as Member or Friend help us achieve our charitable aims and maintain the fabric of the Centre for the benefit of South Brent and the local community. Members can vote at our AGM and hold a maximum liability of £1 should the charity be wound up. Friends are similar to Members but if you don’t wish to hold voting rights or liability, then you can become a Friend for the same subscription as Members.Type of subscription you require *MemberFriendThe minimum subscription amounts are as follows, but you are welcome to give more if you want to. Individual annual subscription: £{calculation-4} per person Unwaged annual subscription: £{calculation-5} per person Family annual subscription: £{calculation-6} per family Life membership: £{calculation-7} per household Duration of subscription *AnnualLifeWould you like Individual subscription(s) or to subscribe as a Family? *IndividualFamilyMinimum Subscription Value£Minimum Subscription Value - family£Minimum subscription required: £{calculation-3}Optional Donation & Gift AidWould you like to add an additional donation on top of the minimum subscription fee??NoYesDonation (in £ GBP) *Amount to pay£Gift AidBoost your donation by 25p of Gift Aid for every £1 you donate. Gift Aid can be reclaimed by the Old School Community Centre (Registered Charity No 1146269) from the tax you pay for the current tax year. You must make sure that the address you have provided is an address at which you are registered for UK tax purposes. In order to Gift Aid your donation you must agree to the following declaration by ticking the box below: I want to Gift Aid my donation of £{calculation-11} to South Brent Old School Community Centre Ltd. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations it is my responsibility to pay any difference.Treat this payment as a payment under Gift AidYesHow would you like to pay? *Bank Transfer or Standing OrderCashChequeCardRegular Payments by Standing Order are preferred as they reduce administration.Cash should be given directly to the Manager of the Old School Community Centre. Please click here for the manager's office hours.Cheques should be made payable to “SBOSCC Ltd” and should be given directly to the Manager of the Old School Community Centre. Please click here for the manager's office hours.After submitting this form you will need to complete your subscription by making a bank transfer, or setting up a standing order, via your bank. The Charity’s bank details are as follows: Lloyds Bank Sort Code: 30-94-58Account No: 27720268Account Name: South Brent Old School Community Centre Ltd. Privacy NoticePlease be assured that we will keep your personal data secure (this means personal data you have provided on this form or at any other time to SBOSCC Ltd). We will not divulge your personal data to any third party without your consent. You may ask the Manager or a Trustee to provide you with a copy of your personal data and if necessary ask for it to be amended or deleted. We will endeavour to comply with any data request within five working days. A copy of our full privacy policy, which reflects current data protection legislation, is available from the Manager or can be downloaded from our website.By submitting this form you are confirming that you are {name-1-first-name} {name-1-last-name} and give your consent for your details to be processed by the Old School Community Centre, or that you have the permission of {name-1-first-name} {name-1-last-name} to submit these details on their behalf. We may need to contact you to confirm this in writing.Your full name *Consent * I am submitting this form in good faith, I consent to South Brent Old School Community Centre storing and processing this data for membership purposes, and I agree with the privacy policy. Submit subscriptionPlease do not fill in this field.
