ALLFIE JOINING FORM
Please print out, fill in and return to:
ALLFIE, 336 Brixton Road, London SW9 7AA
There are two types of membership to the Alliance. Full membership is open to disabled people
and representatives from organisations controlled by disabled people that support the principles of
the organisation. At meetings, full members will have three votes each. Ally membership is open
to individuals and representatives from organisations who are not eligible to be full member but
who support the principles of the organisation. At meetings, ally members will have one vote each.
I would like to become a full member
Ally member
I enclose my annual membership fee of:
Rates:
£
You will receive:
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Regular issues of Inclusion Now
Notice of meetings, events, training courses
News of campaigns and consultations
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Under 18:
Unwaged:
Waged:
Organisation:
School:
Overseas add
free
£5
£15
£30
£30
£10
Name:
Position: (if applicable)
Address:
Postcode:
Phone:
Email:
Name of LEA: (if applicable)
Please tick one option:
 I enclose a cheque (payable to the Alliance for Inclusive Education)
 Please invoice me at the above address
 I have filled out the Standing Order section on the next page
Please tick if you need information:
on tape
in braille
by email
Please tick if you would like Inclusion Now Magazine:
on tape
in print
by e-mail (text only or pdf)
(You can choose more than one category)
Signed:
Date:
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The Alliance for Inclusive Education is a charity and we rely on membership fees and
donations to do much of our work. Standing orders are particularly fantastic because they
give us a regular income which allows us to plan ahead. If you pay for your membership
using a standing order, it cuts down on the amount of administration we have to do and we
never have to bother you for renewals!
You could go even further in your commitment to inclusion and choose to support us
regularly. Even a small amount a month makes a difference, for example a hundred
people pledging £5 a month equals £6,000 a year. This could pay for printing and
distributing Inclusion Now for a whole year, or for a part time Press Officer.
STANDING ORDER FORM
For: (Please tick as applicable)
Membership
Donation
Both
YOUR DETAILS:
Please set up a standing order to the above account for:
£
(amount in words) every month / year
(delete as necessary)
Account Name:
Account Number:
Bank Sort Code:
Start date:
Name and Address of
your Bank:
Account holder(s)
signature(s)
1)
2)
OUR DETAILS:
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Bank Account Name:
Bank Name:
Bank Sort Code:
Bank Account Number:
Alliance for Inclusive Education
CAF Bank
40 52 40
00096366
Please fill in and return both pages of this form to our address on the
first page and we will forward your instructions to your bank.
Please also take the time to fill in and return the following Gift Aid form
as membership fees are eligible for Gift Aid.
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Alliance for Inclusive Education
336 Brixton Road, London SW9 7AA
Tel: 020 7737 6030
Email: info@allfie.org.uk
www.allfie.org.uk
The Alliance for Inclusive Education is a registered charity (number
1124424) and if you are a UK tax payer, your donations AND
Membership fees are eligible for Gift Aid, at no extra cost to you.
Using Gift Aid means that for every pound you give, ALLFIE gets an extra 28
pence from the Inland Revenue. This means that £10 can be turned into
£12.80, just so long as donations and fees are made through Gift Aid.
We can only claim Gift Aid on your *contribution if you pay income tax or
capital gains tax worth at least as much as we could claim in Gift Aid. If you
don't know whether this applies to you, call us and we will help.
Name ................................................................................................................
Address ............................................................................................................
..................................................................................... Postcode.....................
Telephone........................................
E-mail ...............................................
I want the charity to treat:
 The enclosed donation / membership fee of £……… as a Gift Aid donation
 All *contributions I make from the date of this declaration as Gift Aid
donations, until I notify you otherwise
 All *contributions I have made for this tax year and the six years prior to the
year of this declaration (but no earlier than 6/4/2000) AND all donations I
make from the date of this declaration as Gift Aid donations, until I notify you
otherwise.
I confirm that I am a UK tax payer and shall pay an amount of income tax or
capital gains tax equal to the tax deducted from my contributions.
Signed ..........................................................................
Date .....................
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*Contribution = Donation or Membership Fee
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