Membership form

Please complete this form and click the Save button

Fields marked with an asterisk (*) are must contain an answer

First name *

Last name *

First line of your address *

Enter your house number or name followed by the street

Second address line *

This will generally be your area e.g. Trebanos

Optional address line

This is an optional field if you need it for your address

Town *

This should contain your postal town. E.G. Swansea

Post code *

Enter your post code with or without a space. E.G. SA8 4AR or SA84AR

Email address *

This form can only be used if you have an e-mail address. If you don't, follow the instructions for the printable form

Preferred phone number

Mobile or landline. In case we need to contact you.

Data Protection

Would you like us to share your data with Pontardawe Arts Centre in order to keep you up to date with what's on? *

Yes

Gift Aid

Gift Aid Declaration

The Friends of Pontardawe Arts Centre are a registered charity, Registered Charity 1181401. Under the Gift Aid scheme, we may reclaim basic-rate tax from monetary donations received from UK taxpayers. It makes your membership fee go further.

Note that if the you pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all your donations it is your responsibility to pay any difference.

Can we claim Gift Aid on your behalf?

Yes

Please read and agree to the following

Please treat this and all further payments to the Friends of Pontardawe Arts Centre as Gift Aid donations. I confirm that I pay U.K. Income Tax and or capital gains tax at least equal to the amount the Friends can clain on my subscription donations.

Please confirm that you have read and agree to the Gift Aid declaration above

I agree

Select today's date

Checklist

Have you set up your standing order yet? *

Yes