Membership application form

Please fill in the form below and submit it by clicking the button at the bottom of the form. We will then respond to you confirming your membership.

Alternatively, you can post the information to 3 Queens Passage, Chislehurst, Kent, BR7 5AP.

First year membership for all on-line applicants is free.

Names of additional adults:

Charity Gift Aid Declaration 

Boost your subscriptions or donations by 25p of Gift Aid for every £1 of future subscriptions and donations you make.
Gift Aid is reclaimed by the charity from the tax you pay for the current tax year. Your address above is used to identify you as a current UK taxpayer. In the case of joint membership applications, the Gift Aid donor will be assumed to be the primary applicant and not the "additional adult" 
To Gift Aid your subscription or donation you must tick the box :
I want to Gift Aid subscriptions and donations I make in the future or have made since 1st January 2018 to:          The Chislehurst Society CIO (registered charity number 1166276)

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 Chislehurst Society CIO if you: 
1. want to cancel this declaration
2. change your name or home address
3. 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.

How did you find out about the Chislehurst Society?

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Thank you for becoming a member.

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