Please complete and return this to gain free admission to films for a year from the date payment is received. If you pay before this is checked membership will be immediate, if you send this before payment membership will be delayed until someone notices that both components are complete.

Annual Subscription Form
☐ RFS Sunday films £45	☐ RCC Saturday films £45
Title		
First name:		
Last Name:		
Address:		
Postcode:		
Email:		
Phone (mobile):			☐	WhatsApp
Phone (landline):		
Willing to help sometimes with	☐	Projection	☐	Publicity 
	☐	Catering	☐	Door 
	☐	Chairs	☐	More details 

☐	I want to Gift Aid my subscription for this year and in the future to boost the charity’s receipt by 25% at no additional cost to me.

☐	I would like to add a one-time optional tax efficient donation of  ………..…  to help fund equipment purchase [and ask that this be Gift Aided to boost it by 25%].

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.

Signature	Date

Membership fee:	£45 or £90 (no cheques)	Charity No.:	1171282
Account name:	Rusthall Community Cinema	 HSBC Bank,   Tunbridge Wells
Sort code:	404437	Account number:	32198134

Or https://paypal.me/RusthallCinema Return completed to Eugene@RusthallCinema.club