Please print out this application form, and post to:
Mrs Christina Barnett, 46 Pollards Oak Crescent, Oxted, Surrey, RH8 0JQ, England.
| Personal details (block capitals please) | Society Use | ||||
|---|---|---|---|---|---|
| Full Name | Title | Member No. | |||
| Other family members | Title | Member No. | |||
| Title | Member No. | ||||
| Title | Member No. | ||||
| Address | |||||
| Postcode / Zip | |||||
| Country | Telephone | ||||
Subscriptions may paid by Cheque or Postal Order. This must be in STERLING (British Pounds) only, crossed and made payable to 'NWKFHS'. You are welcome to make advance payments (up to a maximum of 3 years) at the prevailing annual rate, e.g. to minimise exchange costs.
I / We apply for membership of the NWKFHS:
Signed____________________________Date______________
I enclose a cheque/postal order for the Annual Subscription: £10 (individual membership) / £12 (family membership).
If you are a UK taxpayer, it would be of great help to the Society if you would sign this Gift Aid declaration. This will enable the Society to claim a tax refund on your subscription. You do not incur any additional cost. You may cancel this declaration at any time. It will automatically cease if you do not renew your membership.
I want the Society to treat all donations or membership subscriptions I make from the date of this declaration as Gift Aid donations.
Signed____________________________Date______________
Please note that the Society uses computer systems to record membership and members' interest information. Under the Data Protection Act 1998, it is necessary for you to be informed of this. The information you provide on this application form will only be used by the Society's officials and taskholders to conduct Society business and will not be supplied to outside bodies in any form. If you have any questions or concern over the data held, please contact the Secretary.