Meridian Programme Associate Membership

Registration Form
Title
  Male/Female  
First Name  
Last Name  
Date of Birth  
Address  
Address (contd.)  
Address (contd.)  
City  
County/State/Province  
Postal/Zip code  
Country  
Telephone:  
Mobile:  
Fax:  
E-mail  
Web-site  
Profession  
Profession 2 (if any)  
Special Interests (1)  
Special Interests (2)  
Special Interests (3)  

Financial Contribution

Associate Membership involves a flexible financial contribution. You determine the actual amount by self-assessment based on a proportion of your available income. This puts all the power of decision-making in your own hands, whilst retaining complete confidentiality concerning the details of your personal income. It also ensures that financial circumstances debar no-one from becoming an Associate.
  • Calculate your annual available income. [To some that may mean "after tax and national insurance", for others "after deductions for housing, bills etc.", and for yet others "what is left at the end of the month". Any change in personal circumstances is reflected in the amount of available income.]
  • Determine the maximum, sustainable, proportion of available income that you can afford to contribute to the work of the Meridian Programme [e.g. 10%; 5%; 2%; 1%; ½%; etc.]. Any shift in your commitment to the Programme will influence the percentage you choose to contribute.
  • Choose the most convenient payment period, i.e. monthly, quarterly, half-yearly, or annually.
  • Enter the amount of your initial contribution in the box provided.
Contribution every:
  Month       Quarter       6Month       Year    
First Contribution:
  Amount:    
Joining Donation:
  Amount:    
Total Enclosed:
  Amount:    

GiftAid

The Meridian Programme is hosted by the Unit for Research into Changing Institutions (URCHIN), a UK Charitable Trust, Reg. No. 284542. For us to reclaim tax under the GiftAid scheme you must pay an amount of income tax and/or capital gains tax at least equal to the tax that URCHIN (Meridian) reclaims on your contributions in the tax year (currently 28p for each £1 you give). You can cancel this declaration at any time by notifying us. If in the future your circumstances change and you no longer pay tax equal to the tax that we reclaim, you can cancel this declaration. If you pay tax at a higher rate you can claim further tax relief in your Self Assessment tax return.
I am a UK taxpayer
  I want all contributions/donations to be Gift Aid until I tell you otherwise

Data Protection:

In signing this form you agree that we can hold in our database the details about you given above. We will take steps to protect your personal data and we will not disclose these details to anybody without your consent.
Signature  
Date:  

Please print this form, complete and return it with your cheque (made payable to Meridian and drawn in sterling on a UK bank)

To:
Programme Administrator,
Meridian Programme,
Meridian House,
115 Poplar High Street,
London E14 0AE, UK


Notes:
  • All cheques must be made payable in GBP and drawn on a UK bank. Please contact the Administrator for account details if you wish to pay by direct bank transfer.
  • All Associates from non-sterling currency areas must use the on-line Registration Form with its links to the credit card facilities managed on our behalf by the secure servers of WorldPay.
  • A Certificate of Registration as an Associate of the Meridian Programme will be issued on receipt of the completed registration form together with the first financial contribution