| Please complete the following form to register: |
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| Login information |
| E-mail |
*
You MUST enter a valid e-mail address. On completing the registration process you will be sent an activation e-mail - please read and follow the instructions in that e-mail. |
| Password | * |
| Confirm password | * |
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| Personal details |
| Title |
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| First Name | * |
| Surname | * |
| Gender |
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| Date of Birth |
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| Contact information |
| Address line 1 | * |
| Address line 2 | |
| Town/city | * |
| County | |
| Postcode | * (Rep. of Ireland use county i.e. "County Cork") |
| Country |
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| State Preferred address |
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| Preferred phone number | |
| Is your preferred Tel Number |
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| Other |
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| Please select one of the following payment/membership options |
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I have completed the Direct Debit Instruction Form and confirm that Wooden Spoon may debit my account with the sum of £[select option] in accordance with the Direct Debit Guarantee |
| I would like to help my regional committee | |
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| Stirred into action at/by: | |
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Please complete all section below
Name and full postal address of your Bank or Building Society |
| Bank/Building Society | |
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| Address | |
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| Name(s) of Account Holder(s) | |
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| Branch Sort Code | |
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| Bank/Building Society Account Number | |
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These Instructions will be sent to your Bank/Building Society requesting to pay Wooden Spoon Society Direct Debits from the account detailed in this instruction subject to the safeguards assured by the Direct Debit Guarantee.
By Submitting this application form I understand that this instruction may remain with Wooden Spoon and, if so, details will be passed electronically to my Bank/Building Society. |
Use Gift Aid and you can make your donation worth more. For every pound you give us, we get an extra 28 pence from the Inland Revenue. So just tick here. It’s that simple. To qualify for Gift Aid, what you pay in income tax or capital gains tax must equal the amount we will claim in the tax year. |
Under the terms of the Data Protection Act 1998, I agree to let Wooden Spoon store
and process information about me for the purpose of providing services in accordance with its charitable aims. |
Please tick if you agree that your details may be passed to third parties. |
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