We have a world to change, and we need your help to change it! Please complete this form to become an Individual Supporter, then send your payment (see below) to IHEU. Contact us if you need more help. Individual Supporters and IHEU 100 Club members receive International Humanist News (IHN) and can attend the IHEU Annual General Assembly as observers. They may also receive discounts at IHEU World Congresses. Items marked * are required.

Title:

Mr, Mrs, Miss, Ms, Dr, Prof...

Your name: *

Email address: *

Please take extra care to get the email address exactly right as we often find that typing errors cause our reply emails to bounce.

Address: *

Your street address

City and zip or postal code: *

Country: *

Telephone:

Include country code and area code

Fax:

Include country code and area code

I want to become: *

Annual Supporter (£33 / $60 / €50 a year)

Life Supporter (£550 / $1000 / € 850)

Life Supporter -- age over 65 (£440 / $800 / € 660)

Club 100 member (pledge to pay £375 / $680 / € 515 each year for three years) -- I agree to make three payments, one now, one in a year's time and one in two years' time

I want to claim the spouse or partner discount (50%)

There is a 50% discount for individual supporters living at the same address as an existing full-rate individual supporter.

I also want to make a donation:

Your donation will be used to secure IHEU's long-term future. Please state currency and amount.

Year of birth: *

Profession:

Method of payment: *

I AM A UK TAXPAYER -- please consider becoming an Individual Supporter of International Humanist Trust, registered charity no. 1098454, at the same subscription rates. IHT can claim 28p from the Inland Revenue for every pound you contribute. By becoming an Individual Supporter of IHT you also become an Individual Supporter of IHEU. Cheque (drawn on a UK bank) payable to INTERNATIONAL HUMANIST TRUST -- please also check the Gift Aid Declaration below

I have a UK bank account but I am not a UK taxpayer -- Cheque (drawn on a UK bank) payable to INTERNATIONAL HUMANIST AND ETHICAL UNION

Credit Card (Mastercard/Visa/Delta/Switch) -- if paying from outside the UK, credit card is the best way to pay, although we have to pay about 5% to the credit card processor. If you wish, you can help us defray the credit card charges by adding a (voluntary) 5% to your payment. If paying by credit card, please pay on our secure web site -- after completing this form, click the Visa or Mastercard logos at the top right of any web page

Paypal -- we can also accept Paypal payments if you live in a country served by Paypal, although we have to pay about 5% to Paypal. You do not need to be a member of Paypal to use their service. If you wish, you can help us defray the Paypal charges by adding a (voluntary) 5% to your payment. If paying by Paypal, after completing this form, please use the Paypal button under Support IHEU at the top right of any page on this web site

Bank Transfer to Barclays Bank PLC, Chancery Lane and Goslings Branch, 147 Holborn, London EC1N 2NW, United Kingdom, account name International Humanist and Ethical Union, sort code 20-41-41, account number 50958840, SWIFT code BARCGB22, IBAN number GB59BARC20414150958840. Please use your name as the payment reference. If making Bank Transfers to IHEU, please reverse all bank charges to yourself.

Non-UK cheque / check payable to INTERNATIONAL HUMANIST AND ETHICAL UNION - This is the most expensive way to pay, with heavy bank charges, so please add £15 to your payment.

Currency of payment: * British pounds (£/GBP)US dollars ($/USD)Euros (€/EUR)Other

Please select a currency; if you choose Other, please state the currency in the box below; please select British pounds if paying by credit card

Amount of payment: *

Please state currency if not GBP / USD / EUR

Gift Aid (UK taxpayers only)

I AM A UK TAXPAYER. Declaration to the International Humanist Trust: "I want all donations I have made since 6 April 2000 and all donations in the future to be Gift Aid until I notify you otherwise." Please make your payment to INTERNATIONAL HUMANIST TRUST.

I agree to my details being held in a computerized database, to be used solely for IHEU purposes

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