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RCC MEMBERSHIP FORM Surname (capital letters):?Forenames:Title or Rank (Mr, Mrs, Miss, Ms etc):Address: Telephone Numbers:Email Address:I accept the invitation to join the Real Champions Club and agree to abide by its Rules.I understand it is a requirement of the Club to establish a direct debit facility and I have activated it at GoCardless to pay the annual membership fee and for other events as directed. Please indicate your agreement by selecting the relevant boxes below: I authorise the Club to debit me with ?395 (reduced pro rata, if required, as per the Rules) being the annual membership fee for the year ended the 31st August and annually thereafter on the 1st Septermber.? I consent to the Club holding my personal data as defined in the RCC Privacy Notice and to sharing my data in the list of members. (name, email address and phone numbers) Please treat as Gift Aid donations all qualifying gifts of money made to Real Champions Club today and in the future until I notify you otherwise. I confirm that I am a UK taxpayer and 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, it is my responsibility to pay any difference. Signature: …………………………………………………………..? ? ? ? ? Date: ………………………… Clothing Choice:As a welcome to the RCC, you are entitled to choose a complimentary white softshell gilet or white polo shirt, displaying the RCC logo. Please see the RCC website MERCHANDISE? page for example photos and size charts. Select item and add size: Mens Gilet Mens Polo Shirt Womens Gilet Womens Polo Shirt Size: …………. Club Memberships (inc. peripatetic) : ……………………………………………………………………Please return the completed form to the Secretary by email to secretary@ ................
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