Become a member or friend of Dorchester Arts !

You may complete and send this form but you will still need to come into the office and sign the form to complete the paperwork for the bank

*Your name:

*postal address:

*postcode:

*phone no:

*email address:

*I wish to become a member friend

*your bank name

*bank address

*please pay now and annually on the first of:

*the sum of:

*bank account name:

*sort code:

*bank account no:

*GIFT AID If you are a tax payer we are able to reclaim basic tax rate paid on any donations to us. Donations make a considerable contribution to our budget. If you would like to donate under the Gift Aid Scheme, please complete the membership form and sign the declaration below. We are then able to reclaim 28p in every £1 you donate. This confirms my wish to donate under the Gift Aid Scheme from the date of this declaration until I notify you otherwise. I understand that I must pay an amount of Income Tax or Capital Gains Tax in the relevant year equal to any tax reclaimed by Dorchester Arts Centre in that period. I confirm I am a UK resident. Yes - please reclaim my tax under Gift Aid No- I am not a tax payer and you cannot reclaim Gift Aid

*Required