Rcs Credit Card Application by avj19914

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									                                                                                                     APPLICATION FOR MEMBERSHIP
                                                                       By completing this form you are applying for membership of the Royal Commonwealth
                                                                       Society and if admitted, you agree to support the objectives of the RCS and to abide by the
                                                                       Society’s
                                                                       charter and support its rules.

Section 1: Your Personal Details
Title                                                      Name
Telephone                                                  Postal Address



Date of Birth                                              Job Title
Email

Section 2: Your Membership
How did you hear about us? If you have been referred by a member, please supply their name and/or membership number here so that we can reward them
within our loyalty scheme.




Select the type of membership you wish to apply for:
Full Membership                                                             Off Peak Membership
Yearly Fee of £290 PLUS                                                     Yearly Fee of £190 PLUS
Entrance fee of £200                                                        Entrance fee of £100
TOTAL                                £490                                   TOTAL                                       £290
Full Membership for Under 35s, Partner Organisations and                    Off Peak Membership for Under 35s, Partner Organisations and
Charities                                                                   Charities
Yearly Fee of £200                                                          Yearly Fee of £100
PLEASE NOTE: You will need to submit proof of: age,                         PLEASE NOTE: You will need to submit proof of: age, membership of a
membership of a partner organisation or that you are                        partner organisation or that you are employed by a charity to claim this
employed by a charity to claim this rate.                                   rate.
TOTAL                               £200
                                                                            TOTAL                                        £100

Section 3: Your Payment Method
I wish to pay by:
           Cheque - Please make it payable to the Royal Commonwealth Society.
           Debit/Credit Card - Please complete the information below
           Company Invoice - We will generate an invoice for your fee. Membership is permitted once funds clear.
           Direct Debit – Please complete the mandate on a separate form and send us the original signed copy.

Type of card                                  Debit Card VISA Mastercard                             Expiration Date
Card number                                                                                          Start Date
                                                                                                     (debit only)
Security Code                                                                                        Issue No
(3 digits on reverse of card)                                                                        (debit only)
Signature

GIFT AID DECLARATION
Using Gift Aid means that for every £1 you donate, the RCS will get an extra 28p from HMRC. If you are a UK tax payer, please sign below to confirm that you would
like to donate a proportion of your membership fee to the charity until further notice.

Signature                                                                                            Date

NOTE: You can cancel this declaration at any time by notifying the charity and you must pay an amount of income tax and/or capital gains tax at least equal to the
tax that the charity reclaims on your donations in the tax year (currently 28p for each £1 you give).

Please return this application form by:
POST: Membership Department, Royal Commonwealth Society, 25 Northumberland Avenue, London, WC2N 5AP
EMAIL: membership@thercs.org
FAX: 020 7930 9705

								
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