Membership Application Form
For Stoke Poges, Wexham & Fulmer Horticultural Society.
www.hortsoc.org
Email address *
I would like to receive occasional emails regarding society events, membership fees and the electronic version of the newsletter
Title
First Name
Your answer
Last Name
Your answer
Address
Your answer
Telephone
Your answer
I want to apply for
If this is a joint membership please enter the full name of your spouse or partner below
Your answer
Payment
Cheques can be made payable to S.P.W. & F.H.S. and should be sent to the Membership Secretary, Christine Southam,
66, Rogers Lane, Stoke Poges, SL2 4LF.

Alternatively payment may be made by Bank Transfer to:-
Natwest Bank, Gerrards Cross Branch.
Sort Code 60-08-34
Account Number 83785981

For future years, to pay by Standing Order annually, please ask your bank to make payments annually on 15th October to The Stoke Poges, Wexham & Fulmer Horticultural Society at NatWest, Gerrards Cross, Sort Code, 600834 Account 83785981

Gift Aid Declaration: I want Stoke Poges, Wexham & Fulmer Horticultural Society to treat all donations, including Membership Subscriptions, until I notify you otherwise, as Gift Aid Donations.
Note: Your membership details will not be published. The database will be used for internal administrative purposes. Please Tick Box *
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service