Hujjat Membership Renewal Form [M2]

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Hujjat Membership Renewal Form [M2]

Please note: This form is only for membership renewals. If you have never been a Hujjat member before please do not use this form. Instead, please fill out the following form to apply: https://www.hujjat.org/membership-application-form/

If you are unsure about this please contact admin@hujjat.org to find out your membership status.

To fill in this form, you will need the following:

Payment card
Your membership number (you can find this on your reminder email or by contacting admin office)

Please confirm you have read and agree to the above to continue

YES

Please Select Your Membership Type & Year:

Single - £72.00
This is open to individuals who are unmarried and aged 18 or over. Please note to be a member of the burial fund, someone in your immediate family will need to be a Family member. Alternatively, you can select to pay Family membership fees.

Family - £120.00
This is open to married couples, and their children under the age of 18. This is also open to widows or widowers who have children under the age of 18.

Student - £6.00
This is open to to individuals who are able to demonstrate that they are engaged in full-time further education. If you are a student please select this option to become a member. You may be requested to submit proof of being in full time education if you select this option.
Senior Single - £6.00

This is open to individuals aged 65 or over, or widows or widowers previously holding Senior Family Membership, who are unmarried. Please note to be a member of the burial fund, someone in your immediate family will need to be a Family member. Alternatively, you can select to pay Senior Family membership fees.

Senior Family - £12.00

This is open to married couples where one spouse is aged 65 or over, and shall include their children under the age of 18.

Please note membership to the Burial fund requires all members to be up to date on membership subscriptions. If you have missed a previous year, please pay for those years first.

Which year would you like to pay for?

About you

Please enter your information below. If you are paying on behalf of another individual, please enter their information instead.

First Name

Last Name

Phone Number

We may get in touch regarding your membership payment.

Membership Number

Date of Birth

We need this so we can match this renewal against your previous membership.

Day

Month

Year

Your Residential Address

Address Line 1

Address Line 2

City

Postal Code

Country

Add Family Members

Do you have a spouse and/or any children under the age of 18 that you would like to add to your family membership?

Family Member Information

First Name

Last Name

Date of Birth

This person is my...

Payment Information

Amount Due:

Name On Card

Card Number

Security Code

Billing Email

You will receive an email receipt to this address.

Gift Aid Declaration

Add 25% more to your donation at no cost to you. A Gift Aid declaration allows the KSIMC of London to claim tax back on eligible donations. It means that for every £1 you donate to the KSIMC of London we can claim back 25p, at no extra cost to you.

Yes, I am a UK tax payer and would like to gift aid this donation.By ticking the "Yes" box, I agree I would like the KSIMC of London to reclaim the tax on all qualifying donations I have made, as well as any future donations, until I notify them otherwise. I 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 I may be asked to pay any difference. I understand that the KSIMC of London will reclaim 25p of tax on every £1 that I give.

Terms & Conditions

Privacy notice:
Please note that the data collected by this form will be used by The KSIMC of London (KSIMCoL) to:

- Enable the planning, delivery and evaluation of the 2021 Membership Renewals

- Communicate with members and those who complete this form

- Support the delivery of KSIMCoL projects

It will be stored securely in accordance with the Data Protection Act and GDPR. It will be accessible to KSIMCoL EC, Staff and relevant Volunteers

By filling out this form you consent to your data being used in this way and as set out in our Privacy Policy (https://hujjat.org/privacy-policy/). Should you have any queries with this please contact admin@hujjat.org.

Renewal notice:

By ticking this box, I consent to my payment being allocated to past unpaid membership subscriptions, if applicable. In accordance with the current Constitution, I understand I will need to re-apply for membership if I have outstanding unpaid subscriptions.

The Admin team will contact you with further information on how to re-apply and update your membership status.

I have read and agreed to renewal terms above.

Notes:

Contact Information