* indicates required First Name: * Last Name: * Email: * Phone: * Postcode Address Line 1 Address Line 2 Address Line 3 Town County Postcode Membership * Full Membership £15 Student/Discounted Membership £5 Additional Member of Household £7.5 Extra Donation * Min £3 required for Gift Aid to apply Preferred Payment Method * Online Payment (Direct Debit/Card) Cash/Cheque Our service provider GoCardless is an FCA Authorised Payment Institution ref no. 597190. At Dorset Humanists we do not hold your bank details. But if you prefer not to pay online, we do accept cash or cheque. Please make your cheque payable to Dorset Humanists. Cheques and cash can be handed to the duty chair or any of our officers at our meetings. Declarations I/we support the aims of Dorset Humanists * I/we have read the terms and conditions and privacy notice. * I/we give permission for Doreset Humanists to record my data as stated. * I wish this subscription/donation and all subsequent subscriptions to Dorset Humanists to be treated as Gift Aid. I confirm that I am a UK tax payer and will notify you if this changes. Gift Aid allows us to claim back basic income tax on your donations. Date: Previous 1 / 4 Next
