On-line Renewal Form

Membership Status *

Full Member

Associate Member

Reason for Submission *

Annual Renewal

Detail Update

Your Forename *

Your Surname *

Your Address

Your Post Code

Your Date of Birth

Enter your email address *

Your Occupation

Your EKAM Membership Number

Your IAM Membership Number

IAM Membership Expiry Date

Home Phone Number

Mobile Phone Number

Other Phone Number

Gift Aid

Yes

I confirm I have paid, or will pay, an amount of Income Tax and/or Capital Gains Tax for each tax year that is at least equal to the amount of tax that all the charities or Community Ammateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand that the charity will reclaim 25p of tax for every £1 that I give on or after 6th April 2008.

First Name