New Membership Application Form 2017-09-18T13:54:10+00:00

New Membership Application Form

Please select the type of membership that you would like.

Member 1 Details

Member 2 Details

Boost your donation by 25p of Gift Aid for every £1 you donate.

By selecting “Yes” I confirm that I want to Gift Aid my donation on this form and any donations I make in the future or have made in the past 4 years to The Derby and Sandiacre Canal Trust. 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. I will notify the Trust if I want to cancel this declaration, or I change my name or home address or I no longer pay sufficient tax on my income and/or capital gains. For more details please visit the HMRC website.

I am not a UK taxpayer or I will not pay sufficient Income Tax and/or Capital Gains Tax in the current tax year to allow the Trust to reclaim Gift Aid. For more details please visit the HMRC website.

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