Membership Application – Couple 1 Year

Couple 1 year – £30

Please complete the form and payment below:

    Is this for New Membership or Renewal?

    Marketing
    Tick box to opt-in to receiving emails advising you of Association and Club events, news and updates

    Address*



    Other adult member in same household

    2nd Adult Marketing
    For joint applications, tick box to opt-in/opt-out to receiving emails advising you of Association and Club events, news and updates.

    Additional Junior Member(s) (if applicable)




    Proposers
    Each New Membership application (not renewals) requires a proposer and seconder. However, if you do not know any members to propose you, please submit your application and we will contact you about this.

    By clicking on the submit button you agree that
    I/We wish to apply for membership to Wythall Community Club.
    I/We agree to abide by the Rules of The Club.

    Data Protection - Privacy Policy*
    All information submitted here is for internal use only and will never be shared with other organisations. Instructions on how to opt-out of our email distribution list are included in every email sent out. Please tick the checkbox that you have read and agree with our privacy policy.


    Gift Aid

        • Your donation could be worth even more to the Wythall Community Association through the Gift Aid scheme. Ticking the Gift Aid box on the application form means we can reclaim tax for every £1 you give. To qualify you must pay an amount of income tax and / or capital gains tax at least equal to the tax that the charity reclaims on your donations in the tax year.
        • Please complete all your details clearly above and, if applicable, sign to allow us to claim Gift Aid on your donation.
        • You agree that the element of £10 per person per annum due to Wythall Community Association (Registered Charity No. 243332) and any similar payments you make in future, may be used to claim Gift Aid.
        • Funds raised will go towards the charitable and public benefits.
        • We will share required details, such as your name, first line of address, postcode and age with HMRC as required to claim the Gift Aid.