dsOK Application for Membership


Membership of downsyndrome OK costs £15 per year but is free to current members of the Down’s Syndrome Association (DSA).
Applicant Details
Title:
Surname:
First name:
Spouses/partners name:
Address:
Postcode:
Telephone:
e-mail address:

Please select from the following. I am...
A person with Down’s syndrome
Parent(s)
Grandparent(s)
Professional (Please give details)
Other (Please specify)


To be completed by parent(s)/grandparent(s) only. Not required for other applicant types.

Childs date of birth:
Childs name:
Childs sex:
Male Female
Declaration
I/We wish to become members of downsyndrome OK, a company limited by guarantee, and agree to be bound by its memorandum and articles of association and any rules made thereunder and, in the event of the company being wound up whilst I am/we are members or within one year thereafter, to contribute such amount, not exceeding one pound (£1.00) as may be required.

I/We enclose subscription of £15 (cash or cheque made payable to downsyndrome OK)
I am/We are members(s) of the DSA, number

Signed:   Date:


GIFT AID DECLARATION
Are you a UK taxpayer? If so, every £1 you give could be worth £1.28 to us, helping to fund our work - at no cost to you. All you need to do is tick this box.
I would like the tax to be reclaimed on any eligible donations or membership subscriptions that I have ever made or will make to downsyndromeOK until further notice. I confirm that I pay an amount of UK income or capital gains tax at least equal to the tax that downsyndromeOK will reclaim.

Please sign and return your completed form to 7 The Highway, Sutton, Surrey, SM2 5QT

The information given above will be used solely for downsyndrome OK purposes and will not be disclosed to other parties.

downsyndrome OK. A company limited by guarantee, registered in England, number 4756272 and a registered charity number 1099580. Registered office: 28 Stopham Road, Maidenbower, Crawley, West Sussex, RH10 7JF