Renew Membership - Arthritis Action

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Name*

First Last

Email*

Membership*

Annual

Life Membership

*Annual - £25.00 per year or £20.00 if you pay by Direct Debit
* Lifetime Membership - £250.00

Payment Type

One off Payment

Direct Debit

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Account Number

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Optional Donation (Please enter an optional donation amount here)

There is no obligation to make a donation although a voluntary contribution will help the charity to reach more people with arthritis.

Optional Donation (Please enter an optional donation amount here)

There is no obligation to make a donation although a voluntary contribution will help the charity to reach more people with arthritis.

I am a UK tax payer and I would like Arthritis Action to reclaim the tax on all qualifying gifts of money made today, and in the past 4 years and in the future. I can confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year/s (6 April to 5 April) and I understand the charity will reclaim 25p of tax on every £1 that I give.

UK Tax payer

I am a UK tax payer and happy to Gift Aid my donation

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Total Amount Payable

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Total Annual Fee (Direct Debit)

Total Lifetime Membership Fee

Direct Debit Donation

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