Membership Application Form

Membership Application Form

Please complete ALL fields on the form.

Name

e.g. John Smith &/or Jane Doe

Address

Address line 1.

Address line 2.

Town/City.

Country.

Post/Zip Code.

Telephone No.

Full Telephone No. inc Country Code

Email Address

We will not share your details with anyone outside the Group.

Boost your subscription by 25% through Gift Aid.
The Shelley Group is a Registered Charity - Registration No. 1097547. Gift Aid is reclaimed by the Group from the tax you pay for the current tax year. In order to Gift Aid your subscription please read the following declaration and indicate your wish by inserting 'Y' or 'N' in the box below. Please contact the Membership Secretary if you have any queries.

Declaration:
I want to Gift Aid my subscription/donation and any subscription/donation I make in the future or have made in the past four years to the Shelley Group. 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 subscriptions/donations in that tax year, it is my responsibility to pay any difference.

Gift Aid

Please enter Y or N

You must notify the charity 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.

If you wish to print a copy of your application, please do so before clicking the 'Submit Form' button