<p> Dumfries and Cumbria Greyhound Rescue (serving South-West Scotland & Cumbria) Charity No: SCO32858</p><p> www.dgrescue.org.uk</p><p>Membership Application Form 2016 </p><p>Member Details </p><p>I/We …….. ……………………………………………………………..</p><p>Of (address) ………………………………………………………………………………</p><p>Post Code …………………………………</p><p>Email Address ……...... Phone Number ……………………………</p><p>We would appreciate your email address in order to reduce our postage and printing costs.</p><p>Hereby apply for Annual/Life membership (delete as appropriate) of the above organisation and agree to abide by any rules and regulations made under the terms of its constitution. I/We understand that I/We will be committed to increasing public knowledge regarding the welfare of retired, abandoned and injured ex-racing greyhounds and that I/We may from time to time he asked to assist in fundraising events. STANDING ORDERS. Should you wish to pay by standing order, please contact Membership Sec. at the address below.</p><p>Signed …………………………………………………………………………………………</p><p>Occupation* (optional) ………………………………………………………………………</p><p>Date………………………………………………</p><p>The membership year runs from 1st Jan until 31st December. The Annual Membership is £15 per household, Life Membership is £150 per household. </p><p>Office Bearer’s signature………………………….. Amount received………………. Date………………..</p><p>Information contained on this form will be used for DCGR administrative purposes only and will not be released to any third party. </p><p>*We are asking for this information, as, from time to time, DCGR needs help or advice from various professionals and you may, if willing, be able to assist us. Gift Aid Declaration</p><p>I/We are new members & would like to gift aid. Please fill in the form below. </p><p>We already gift aid & would like to continue </p><p>We are unable to gift aid/We need to cancel </p><p>Signed …………………………………………………….</p><p>Gift Aid Declaration – for past, present and future donations Dumfries and Cumbria Greyhound Rescue (serving South-West Scotland & Cumbria) Charity No: SCO32858</p><p>Please treat as Gift Aid donations all qualifying gifts of money made: Today </p><p>In the past 4 years</p><p>In the future </p><p>Please TICK all boxes you wish to apply. </p><p>I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for year tax 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 gave up to 5 April 2008 and will reclaim 25p of tax on every £1 that I give on or after 6 April 2008. </p><p>Donor’s details</p><p>Title……… First name or initial(s)…………………… Surname……………………. Full home address…………………………………………………………………………. ………………………………………… Postcode……………………………………. Date…………………. Signature……………………………..</p><p>Please notify the charity or CASC if you:  Want to cancel the declaration  Change your name or home address  No longer pay sufficient tax on your income and/for 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 & Customs to adjust your tax code. </p>