Membership Application Form Title Mr Miss Mrs Ms Other Name Address Email address Telephone Date of Birth (if under 18) I consent to my details being held by the Club for membership purposes. New membership application Membership renewal Please send me details of paying my subscription by Standing Order. Membership Type and Annual Subscription Individual £20 Retired individual * £15 Family £25 Retired family * £19 Junior/Student £10 (For those in full time education.) * Optional 25% discount for fully retired members Gift Aid Declaration The Club's membership subscription and other donations are within the Gift Aidguidelines, so if you pay Income Tax or Capital Gains Tax and complete thefollowing section, the Club can recover tax on the donation made. All donations I make from this date until further notice shall be Gift Aid donations.I want the Berkshire Ornithological Club to reclaim tax on my donations.