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1837 Online Membership Application
Thank you for choosing to support the 1837 Society, the organisation which represents Old Members of the Queen's College Boat Club and supports student rowing at Queen's.

Please complete all sections of this form. Concurrently, please also set up a direct debit payment via one's own online banking platform, payable to:

Name: The 1837 Society
Account No.: 86183124
Sort Code: 60-70-03
Address: NatWest Bank, 121 High Street, Oxford, OX1 4DD
Reference: Your Name - Subs

If you would prefer to set up a Direct Debit via paper copy, please contact the Society Secretary - Oliver Perrow - at 1837society@gmail.com.
Email address *
Full name and title: *
Your answer
Address: *
Your answer
Non-Queen's email address: *
Your answer
Frequency of donation: *
Amount of donation: *
Your answer
Date of first payment: *
Your answer
Matriculation year:
Your answer
Year of leaving Queen's:
Your answer
Would you be happy to receive newsletters and other communications by e-mail? *
If you would prefer to be contacted by other means, please specify below (Optional)
Your answer
The Society maintains a computerised database of its members. The personal data therein is stored solely for the purpose of the Society and will not be given to any third party or other organisation. Do you consent to the inclusion of your personal information in this database? *
Mobile Telephone (Optional):
Your answer
In which boats did you row (year, term, boat, position)?
Your answer
Did you hold a position on the BC committee (if so, which, and when)?
Your answer
If you are a UK taxpayer, it can allow us to increase the value of your donations by up to 28% via Gift Aid
Please note:

1. You must pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April one year to 5 April the next) that is at least equal to the amount of tax that the charity will reclaim on your gifts for that tax year.

2. You should notify the charity if you: Want to cancel this declaration, Change your name or home address, or no longer pay sufficient tax on your income and/or capital gains

3. If you pay income tax at the higher rate, you must include all your Gift Aid donations on your Self Assessment tax return if you want to receive the additional tax relief due to you.– please keep a copy of this declaration for your records.
Gift Aid confirmation *
Thank you for completing this form, if you have not already done so please set up a standing order of the relevant amount on your online banking platform.
Name: The 1837 Society
Account No.: 86183124
Sort Code: 60-70-03
Address: NatWest Bank, 121 High Street, Oxford, OX1 4DD
Reference: Your Name - Subs
We look forward to seeing you at 1837 events in the future!
60th Anniversary Headship Dinner - 2017
A copy of your responses will be emailed to the address you provided.
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