BHS_Membership Application Form 2023-2024

THE ROYAL SCOTTISH COUNTRY DANCE SOCIETY BERKS/HANTS/SURREY BORDER BRANCH

(Charity No. 1067776)

2023-2024 MEMBERSHIP APPLICATION/RENEWAL (1 JULY 2023 to 30 JUNE 2024)

Renewals: If your contact and all other details have not changed, you may renew by contacting the Membership

Secretary confirming your name and how much you have paid.

1. New Applications (single and joint) and other renewals: Please complete the form below.

Name:

Mem No:

Joint member`s name:

Mem No:

Important - Please see below (data protection) **

Address:

Post code:

Telephone:

Email:

I attend the following club(s) :

2. Please pay fees as below:

Adult Single (age 25+): £33.00 (split £26/£7 between RSCDS/Branch)

Adult Joint: £53.00 (split £42/£11) Two people at the same address and belonging to the same Branch. New

members will receive a membership card each but only one Branch newsletter and one SDC Magazine per household.

Young Adult (age 18-24): £27.00 (split £21/£6) Youth (age 12-17): £16.50 (split £13/£3.50)

Additional Branch member: £7.00

(My Nominated Branch, through which my RSCDS subscription is paid is______________________)

Please complete:

I enclose cash/cheque to the value of

Made payable to “Royal Scottish Country Dance

Society BHS Branch”

I have paid direct to the Branch account

Sort code 82 11 07, Account number 20417581

Royal Scottish Country Dance Society BHS Branch

3. Branch News: You will be sent a digital copy. If you would prefer to receive a paper copy please tick here ______ and

indicate which club your copy could be delivered by hand to: ______________________________________________

4. SCD Magazine: Please tick to indicate your preference. Digital copy __________ Paper copy _________

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Please return this form, together with your subscription, by post (or by email if paying direct to the Branch account) to:

Catherine Smith, 34 Greenhill Gardens, Guildford, Surrey GU4 7HH

Tel:01483 502422 email: membership-sec@rscds-bhs.org.uk

(For renewals, acknowledgements will be sent by email unless a SAE is enclosed. New members will be sent a Welcome Pack)

** Data Protection (Please complete the details that you are happy for the Branch to use as set out below.)

• The Branch collects and uses your personal data solely for the purposes of administering your Branch membership including

imparting Branch information.

• It is also collected on behalf of the RSCDS with whom the Branch has a mutual privacy agreement.

• It will be held securely electronically and on paper by the Membership Secretary and will not be shared outwith the Branch.

• Any distribution list emails will be sent as blind copies.

• A member may request their personal data be deleted at any time by contacting the Membership Secretary.

• Six months after the renewal date, any member who has not renewed will be contacted by the Membership Secretary with the

option to have their personal data deleted or retained.