British Acoustic Neuroma Association

Membership Form

If you would prefer, you can download our registration form here, or call us on 01623 632143.

Please note mandatory fields are marked with a *

Annual Membership 18.00
Life Membership 180.00
Donation Amount £ (optional)
Title *
Forename(s) *
Middle Names
Surname *
Home Address *
Home Address 2
Town
Postcode *
Country *
Telephone
Work Telephone
Mobile Telephone
Fax
Email *
Are you a UK Tax Payer? I am a UK tax payer and I want the charity to treat all payments (including subscriptions and donations) I make today and in the future as Gift Aid donations.

You must pay an amount of UK income tax and/or capital gains tax in each tax year at least equal to the tax that the charity will claim from HM Revenue & Customs on your Gift Aid donation(s)

Please notify the charity 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.

Tax claimed by the charity

  • The charity will reclaim 28p of tax on every £1 you gave up to 5 April 2008
  • The charity will reclaim 25p of tax on every £1 you give on or after 6 April 2008
  • The Government will pay to the charity an addition 3p on every £1 you give between 6 April 2008 and 5 April 2011. This transitional relief for the charity does not affect your personal tax position.

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.
Are you under 18 years of age?
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