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.

About you

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Name: *

Email address: *

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Postal address: *

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Country: * select...AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua And BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia And HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, The Democratic Republic of TheCook IslandsCosta RicaCote D'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and Mcdonald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic ofIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia, The Former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMoldova, Republic ofMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian Territory, OccupiedPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome And PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province of ChinaTajikistanTanzania, United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican City StateVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe

Telephone:

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Year of birth: * select...199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909

Profession:

Membership

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

Discount:

I want to claim the spouse or partner discount

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

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Payment

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Method of payment: *

I AM A UK TAXPAYER -- join International Humanist Trust, registered charity no. 1098454, at the same subscription rates. IHT claims 28p from the Inland Revenue for every pound you contribute. You automatically become an Individual Supporter of IHEU. Send a UK cheque payable to INTERNATIONAL HUMANIST TRUST -- please also check the Gift Aid Declaration below;

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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 pay in British pounds and 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.

Gift Aid Declaration:

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 send a cheque made payable to INTERNATIONAL HUMANIST TRUST.

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