New Membership Application Form

Please select the type of membership that you would like.

Member 1 Details

Member 2 Details

Boost your donation by 25p of Gift Aid for every £1 you donate.

By selecting “Yes” I confirm that I want to Gift Aid my donation on this form and any donations I make in the future or have made in the past 4 years to The Derby and Sandiacre Canal Trust. 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. I will notify the Trust if I want to cancel this declaration, or I change my name or home address or I no longer pay sufficient tax on my income and/or capital gains. For more details please visit the HMRC website.

I am not a UK taxpayer or I will not pay sufficient Income Tax and/or Capital Gains Tax in the current tax year to allow the Trust to reclaim Gift Aid. For more details please visit the HMRC website.

Thank you for supporting the Derby and Sandiacre Canal. We would like your permission to keep you informed about our plans for the future restoration, events, fundraising and other activities. This will typically be once per month by email and twice per year by post. We will not share your details with any other organisation for marketing purposes. You can change your contact preferences at any time, see our Privacy Policy (found at the bottom of every webpage) for more details.

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