RSA FRIENDS APPLICATION FORM

Annual Direct Debit discount £3.00
Application details
Adult 1
Adult 2
Title (s)
First Name (s)
Last Name (s)
Address
 
Town/City
Postcode
Daytime telephone
Mobile
Email
Is this a gift?
Send renewals to recipient?
Gifter contact details
Name
Address
 
Postcode
Daytime telephone
Email
Membership number if applicable:
Gift Aid Declaration
As a registered Scottish Charity SC004198 the RSA can reclaim tax on membership donations, currently 25p on every £1. I want to Gift Aid my donation and any donation I make in the future, or have made in the past 4 years, to the Royal Scottish Academy. I am a UK taxpayer and I understand that it I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference.
I agree to notify the RSA if I want to cancel this declaration, change my name or home address, or no longer pay sufficient tax on my income and/or capital gains.
 
Data Protection
The information you provide will be held for processing your membership and for mailing information about Friends of the Royal Scottish Academy. Your details will only be used by Friends of the Royal Scottish Academy and will not be made available to any other organisation