Escolar Documentos
Profissional Documentos
Cultura Documentos
Your Application
The Application Form
1. Your details (please write very clearly)
A Professional (stage) name
2 Training
Have you had professional training?
Yes
No
Male
Name of institution
Name of course
Date completed
Female
D Date of birth
A Start date
(if your application is based on a series of one-off dates e.g. gigs, please
give details of one of these here, but include copies of all the relevant
contracts)
B Employer
C Production
D Place of production
Mob
H Agency
If you are with more than one agency please attach their details separately.
I Nationality
Actor
Audio Artist
Ballet Dancer
Choreographer
Comedian
Dancer
Fire Performer
Model
Opera Singer
Singer
Stage Manager
Theatre Designer
Theatre Director
Presenter
Walk-on
Variety/Circus Artist
Org sig
Date
A N Company
logo or name
Please fill in the whole form using a ball point pen and send to:
AN Company, Any Street, Any Town, Anywhere.
Name and full postal address of your bank or building society
To: The Manager
Bank/building society
Reference
Address
Postcode
Name(s) of account holder(s)
DDI8
Banks and building societies may not accept Direct Debit Instructions for some types of account.
This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits
If there are any changes to the amount, date or frequency of your Direct Debit Equity will notify you 14 working days in advance of your account being
debited or as otherwise agreed. If you request Equity to collect a payment, confirmation of the amount and date will be given to you at the time of the request
If an error is made in the payment of your Direct Debit, by Equity or your bank or building society, you are entitled to a full and immediate refund of the
amount paid from your bank or building society
If you receive a refund you are not entitled to, you must pay it back when Equity asks you to
You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.
Payment
Equity is a data controller and processes information (data) which you give
us on this application and subsequently. Your information is used for the
effective operation of the trade union, and to provide you with the right to
vote and to receive union goods, benefits and services. We may share your
information with organisations with which we work in partnership e.g. British
Equity Collecting Society (www.equitycollecting.org.uk), insurance and legal
providers and agents. We or they may contact you to let you know about
goods, benefits and services that may interest you. You have a right to ask
for a copy of your information (for which we charge a small fee) and to
correct any inaccuracies. To make sure we maintain the standards of service
we may monitor or record communications.
I understand that by making this application for membership I consent to
Equitys processing of data supplied by me, including sensitive personal data,
for the purposes stated above.
1 year deduct 10
2 years deduct 20
3 years or longer deduct 30
Subscription level (see list)
Total
Signature
Card no
This is based on your gross annual income. Please see below and tick the
relevant box. All rates already include the one-off joining fee payment of 30.
Expiry Date
Annual Subscription
155
249
406
657
971
1,284
1,598
1,911
2,225
2,538
Valid From
Security no
Name on card
B) Cheque:
This should be made payable to Equity and enclosed with your completed
form. Please write your requested professional (stage) name on the back.
C) Direct Debit:
Please complete the form below. Your joining fee of 30 will be taken from
your first payment. For example at the lowest annual subscription rate if
you wish to pay monthly the first payment will be 40 with subsequent
payments of 10. This amount takes into account 5 deduction for
choosing to set up a direct debit.
I wish to pay my subscription: Annually
Quarterly
9 9 0 2 6 3
Address
Reference
Please pay Equity Direct Debits from the account detailed in this
Instruction subject to the safeguards assured by the Direct Debit Guarantee.
I understand that this Instruction may remain with Equity and,
if so, details will be passed electronically to my bank/building society.
Signature(s)
Banks and building societies may not accept Direct Debit Instructions for some types of account.
DDI5
Monthly