Membership application

Which type of membership are you interested in?*

Join an existing NWR group
Start a new group
Individual membership

Which is your preferred local group?*

Thank you – we're really pleased you are interested in expanding our network.

About your new group*

Please tell us a little more about your suggestion for a new group. For example, do you know women/friends/contacts who would like to form a group? Which location(s) would your group serve?

Tell us more about you

Your name*

Your address*

Your email address {What is your email address?:7} Change

Landline

Mobile

Date of birth*

How did you hear about NWR?*

From another member
I used to be a member myself
Word of mouth
Internet Search
NWR Magazine
Poster / Notice
Publicity
Social Media
Other

How did you hear about NWR – further details

It would be very helpful if you could provide more detail on how you heard about us.

What is your employment status?

Please select all that apply

Working full time
Working part time
Not working
Job seeker
Student
Retired
Carer

Please describe any additional requirements you have and/or how we can assist you.

We ask to better cater for those with additional requirements, for example, sight, hearing or mobility needs.

Special Interest Groups

Would you like information about any of our Special Interest Groups?

Please select all that apply

Select All
Correspondence magazines and e-mags
NWR Facebook Groups
Postal book groups
Setting up a new Special Interest Group

Gift Aid*

As a registered charity, NWR is able to reclaim the tax on your subscription/donations you have made in the last four calendar years and until further notice.

Gift Aid is reclaimed by NWR from the income tax and/or capital gains tax you pay for the current tax year. Taxes such as VAT and council tax do not apply.

Gift Aid declaration*

Yes, please claim Gift Aid on my subscription and all additional payments I have made to National Women’s Register in the last four years and until further notice.

I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year, it is my responsibility to pay any difference.
No, I am not a UK tax payer or I do not wish to declare Gift Aid at this time.

Please notify NWR if you want to cancel this declaration, change your name or home address, or no longer pay sufficient tax on your income and/or capital gains.

Direct Debit Payment*

NWR membership is just £25 per year. Payment is collected by annual Direct Debit.

Your first payment will be taken on, or shortly after, 1 Jan 2022.

Hidden

First payment date*

Bank account details*

Sort Code - - Account Number Account Name

Consent

I confirm I am the only person required to sign for this account

Ticking this box indicates that I am the Bank/Building Society account holder and no authority other than my own is required.

If more than one person is required to authorise debits from the account, leave this box unchecked and we will send you a paper Direct Debit Instruction for completion.

Multiple signatories are normally only needed for business/community bank accounts. Personal joint accounts usually allow either account holder to authorise debits independently.

Consent

I give my consent to be contacted by NWR

Please tick all that are appropriate

Email
Post
Phone

Declaration*

I wish to join NWR and I agree to subscribe to the objectives of NWR as described in the Memorandum and Articles of Association.

I understand that NWR will process my personal data during my membership and for a period afterwards in accordance with the NWR privacy policy.

I agree to the declaration

We are pleased you wish to join us!

NWR membership application form

Tell us more about you

Special Interest Groups

Gift Aid*

Direct Debit Payment*

Consent