Membership Application Form

I wish to apply for membership of Derby Shakespeare Theatre Company.

Please circle relevant fee: Full (over 18) £20, 18 and under £8, Unemployed £8, Full-time Student £8, Friend £5*

Address

Telephone Numbers

Email Address

I would prefer to receive newsletters and other information by email rather than post.

I am aged 18 or under
Date of Birth (if 18 or under)

Areas of Interest (select all that apply)

Acting
Production/Direction
Stage Management
Set Design
Set Construction
Lighting
Sound
Costumes
Make Up
Publicity
Committee Member
Production Assistant
Newsletter Production
Anything Else

If you are known to any existing members, then please give their names

How did you hear about Derby Shakespeare Theatre Company?

If you already have some theatrical experience then please give brief details

Gift Aid Declaration

The Gift Aid scheme is for gifts of money by individuals who pay UK tax. As a registered charity, DSTC can claim back money on any donations you make to the company including membership subscriptions.
Gift Aid donations are regarded as having basic rate tax deducted by the donor. Basic rate tax is 20 per cent, so this means that if you give £10 using Gift Aid, it’s worth £12.50 to the charity.

Please sign the declaration below if you agree to DSTC claiming Gift Aid on your subscription.
For more information on Gift Aid, please visit www.hmrc.gov.uk/individuals/giving/gift-aid.htm

I________________________ of the above address, want the Derby Shakespeare Theatre Company to treat all subscriptions I make or have made from 1st February 2001, until I notify them otherwise, as Gift Aid Donations.

NOTE: You must pay an amount of UK income tax and/or capital gains tax at least equal to the tax that the Charity reclaims on your declarations in the tax year.

Signed: _______________________________

Date:_______________________________

Please send your completed application form and membership fee (cheques should be made payable to DSTC) to:

Membership Secretary
DSTC
C/O 20 Roman Road
Derby
DE1 3RX

Please note: Membership rates are as detailed above and run annually from1st April to 31st March. If you have any queries, please email eralcepans@aol.com

*If you are a friend of the company only, you will be added to our mailing list but will not be able to take part in productions.

If you have any other comments, please note below: