Join Us | Ipswich Society

Join Us...

Use this form to join The Ipswich Society,
or for existing members to renew with a new (online/card) payment method.

If you are completing this form for Joint membership, a Non-profit organisation or a Corporate business, please fill in the details of the lead person first. Students, Individuals and Joint memberships should enter N/A for Company Name and Position.

Title

First Name

Last Name

Email Address

Mobile Phone

Landline Phone

Address (line 1)

Address (line 2)

City/Town

Postcode

Date of Birth required

Please select your preferred Annual Subscription Plan...

£10
£25

£15
£30

£25
£40

£40

£55

£75

£90

Check here if you are an existing member, renewing your annual membership by changing

to online/card payment.

Renewal

If you selected Non-Profit or Corporate, please tell us who you represent and in what capacity (others can enter N/A):

Organisation / Company Name

Position / Job Title

If you selected Joint, Non-Profit or Corporate, please provide your alternate or second contact details below:

Title #2

First Name #2

Last Name #2

Email Address #2

Mobile Phone #2

If you can help the Society in any way please indicate below:

Ways you might be able to help

Organising visits

Helping at events

Joining the committee

Donating images, film/video

Any other comments you would like to make:

To comply with the data protection act 2018, please tick the box to show that you agree to your information being treated in the strictest confidence and used only within the Ipswich Society.

Compliance Required

I agree

Charity Gift Aid

The Ipswich Society is a Registered Charity No. 263322. You can boost your donation to us by 25p of Gift Aid for every £1 you donate. Gift Aid is reclaimed by The Ipswich Society from the tax you pay for the current tax year. In order to gift aid your subscription you must tick the box below:

Gift Aid

Check this box to Gift Aid your Subscription and any donations.

If I have checked the box above, I want to Gift Aid my subscription fee and any donations I make in the future or have made in the past 4 years to The Ipswich Society. 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 donations in that tax year it is my responsibility to pay any difference. Please notify The Ipswich Society if you want to cancel this declaration, change your name or home address, or 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.

Submission of this form is taken as your signature.