DBKA Subscription/Renewal 2018 (To be read in conjunction with DBKA Membership & Gift Aid Subscription 2018 Notes for Guidance) PLYMOUTH Branch(1) Title (Mr/Mrs etc) First Name(s) Please Surname complete a Address separate form for each member Postcode Telephone Date of (Junior only) Email address @ £ Membership Category Registered (includes BDI for up to 3 colonies(2)) £37.00 (For description of Membership categories Partner £17.00 Junior £17.00 and benefits see Notes for Associate £14.00 Social £4.50 Guidance) Honorary (please detail subscriptions as above) – Voluntary contribution to Branch funds £ Voluntary contribution to DBKA President's Fund £ (See page 2 of Notes for Guidance.) Bee Disease Insurance (see rates on page 3) for total of colonies £ Beekeepers Quarterly: I wish to join the DBKA bulk subscription scheme for 2018 @ £20 per year £ (See page 2 of Notes for Guidance.) Total amount due £ District/Parish where bees are kept(3) Gift Aid Declaration: DBKA can claim 25p in Gift Aid for every pound from your membership subscriptions and donations. Please circle YES or NO in the box to the right to indicate if you would like DBKA to treat these as Gift YES Aid donations. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations, it is my responsibility to NO pay any difference. I have read the Notes for Guidance and certify that I meet the requirements for the membership category for which I have applied and have read and accept the terms detailed in the DBKA Privacy Statement. Signed Date SEND YOUR FORM WITH Bernard Talling For payment by bank transfer* use Account Name: 66 Horsham Lane PAYMENT TO DBKA Plymouth Branch Tamerton Foliot Plymouth PL5 4NP 01752 709470 Cheques should be made payable to: DBKA Plymouth Branch Sort Code: 30-12-74 Account No: 01709922 * IMPORTANT: If paying by bank transfer, your form to bernie868@hotmail.com Branch Treasurer stating that you have paid electronically.
DBKA Subscription/Renewal 2018 (To be read in conjunction with DBKA Membership & Gift Aid Subscription 2018 Notes for Guidance) Branch(1) PLYMOUTH Title (Mr/Mrs etc) First Name(s) Surname Please complete a separate form for each member Address Postcode Telephone Date of (Junior only) Email address Membership Category (For description of Membership categories and benefits see Notes for Guidance) @ £ Registered (includes BDI for up to 3 colonies(2)) £37.00 Partner £17.00 Junior £17.00 Associate £14.00 Social £4.50 Honorary (please detail – subscriptions as above) Voluntary contribution to Branch funds £ Voluntary contribution to DBKA President's Fund (See page 2 of Notes for Guidance.) £ Bee Disease Insurance (see rates on page 3) for total of colonies £ Beekeepers Quarterly: I wish to join the DBKA bulk subscription scheme for 2018 @ £20 per year (See page 2 of Notes for Guidance.) £ Total amount due £ District/Parish where bees are kept(3) Gift Aid Declaration: DBKA can claim 25p in Gift Aid for every pound from your membership subscriptions and donations. Please circle YES or NO in the box to the right to indicate if you would like DBKA to treat these as Gift Aid donations. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations, it is my responsibility to pay any difference. YES NO I have read the Notes for Guidance and certify that I meet the requirements for the membership category for which I have applied and have read and accept the terms detailed in the DBKA Privacy Statement. Signed Date SEND YOUR FORM WITH PAYMENT TO Bernard Talling 66 Horsham Lane Tamerton Foliot Plymouth PL5 4NP 01752 709470 For payment by bank transfer* use Account Name: DBKA Plymouth Branch Cheques should be made payable to: DBKA Plymouth Branch Sort Code: 30-12-74 Account No: 01709922 * IMPORTANT: If paying by bank transfer, your form to Branch Treasurer stating that you have paid electronically. bernie868@hotmail.com
2018%20Membership%20Form%20Only%20PBKA.docx