Membership Form

EXETER & DISTRICT MENCAP SOCIETY

(registered charity no. 235930)

Title ______  Surname_____________________________________________

Forename(s)______________________________________________________

Address _________________________________________________________

__________________________________________Postcode ______________

Email address _____________________________ Phone:_________________

Subscription
Annual Subscription £5   Total donated___________

UK TAX PAYERS PLEASE COMPLETE AND SIGN BELOW
Please treat as Gift Aid donations all qualifying gifts of money made
today (   )  in the past 4 years (   ) in the future (   )
please place tick in all the brackets that apply

I confirm that I have paid or will pay an amount equal to the amount of Income Tax and/or Capital Gains Tax for each year (6 April to 5 April) that is at least equal to the amount of tax that all charities or Community Amateur Sports clubs (CASCs) that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 28p of tax on every £1 that I give up to 5 April 2008 and will reclaim 25p of tax on every £1 that I give on or after 6 April 2008.
Please notify the charity or CASC if you:-  (a) Want to cancel this declaration 
(b) Change your home address  (c) No longer pay sufficient tax on your income and/or capital gains.
If you pay income tax at the higher rate, you must include all your Gift Aid donations on your self assessment tax return if you want to receive the additional tax relief due to you.

Signed__________________________________  Date _______________

    DATA PROTECTION (GDPR)
I consent to the use of the information I have provided for the management of membership as detailed in Exeter & District Mencap's Data protection notice, of which I have been given a copy(see below).

Signed __________________________________  Date________________


Please return to:  Jenny Denham (Membership Secretary)  Burleigh, 348 Pinhoe Road  Exeter EX4 8AF
Email: jenny@bakhatla.uk

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Data Protection Policy

(Reg. Charity no. 235930)

The government has introduced  new rules (GDPR*)  to make sure that any organisations that hold information about you, protects that information so it cannot be misused. Any information you provide to us regarding your membership will only be used for the purposes of running Exeter & District Mencap Society, it will never be disclosed for any marketing purposes.
What information does Exeter & District Mencap hold?
* Your name
* Your address
* Your email address
* Your phone number (voluntary)

Who holds this information?
* The Secretary
* The Membership Secretary
* The Treasurer

How is your information used?
To contact you to inform you of any Workshops or meetings (including the AGM) which may be of interest to you.

We do not give your details to anyone else.

If you wish to see the information that we hold on you, or you have any concerns/complaints you can in the 1st place: 
* contact the secretary at: barbara.ferrity@btinternet.com
* or write to:  The Secretary  13 Henty Avenue  Dawlish  Devon EX7 0AP
* If this does not resolve your complaint,  go to the ico website

Please sign the section of your membership form to say that you have been given this information.       
Many thanks