Membership Level change You have selected the Household Membership membership level. Household is for two adults living at the same address The price for membership is £17.00 now. Membership expires after 12 Months. Account Information Already have an account? Log in here Username Password Confirm Password Email Address Confirm Email Address Full Name LEAVE THIS BLANK More Information Member First Name Member Surname Second Member Name Second Member Surname Second Member Email Address Line 1 Address Line 2 City County Post Code Country Gift Aid Leicester Civic Society is a registered UK charity number 502932. If you are a UK tax payer please help us increase the value of your donation at no extra cost to yourself.Please read and agree to this statement selecting one of the Gift Aid options in the donation form dropdown below if you wish Leicester Civic Society to claim Gift Aid on your donation. I am a UK taxpayer and wish the Leicester Civic Society to treat all donations that I make to the Society as Gift Aid donations from the date below. My annual income tax and / or capital gains tax that I pay is at least equal to the sum of donations that I make to all the charities I support. I understand that taxes such as VAT and Council Tax do not qualify. I also understand that, each year, the Leicester Civic Society will reclaim the appropriate sum from Her Majesty's Revenue and Customs, currently at 25p for every £1.00 I donate. There is no additional cost to myself. Yes No Processing...