Membership Form 2018
On this form you can become a member of the Gardens and also renew a current membership. There is a link to the online payment at the bottom of this form. You can pay by Credit Card or by Paypal (you do not have to have a paypal account )
Email address *
About You
Please give us details so we can contact you. We will contact you about your membership and also send you updates by email about event, happenings and special offers. It saves the charity money if we are able to use email to contact you. But please indicate your preferred means of contact at the end of the section.
Current Membership number (if known)
This helps us find you in our lists
Your answer
Your First Name *
Your answer
Your Family Name *
Your answer
Telephone number (landline, mobile or both)
please put your preferred number first
1st telephone number
Your answer
2nd telephone number (if applicable)
Your answer
Home Address
Address 1 *
Your answer
Address 2
Your answer
Address 3 *
town or city
Your answer
Postcode *
Your answer
Joint member's details
(if applicable)
Joint member's first name
(if applicable)
Your answer
Joint member's family name
(if applicable)
Your answer
Joint member's email
(if you require separate information mailings)
Your answer
Type of membership required *
a drop down list- please click
Required
Gift Aid
Please help us maximize the benefits of your membership by signing the gift aid declaration below. This enables us to claim an extra 25p per £1 from the government. Thank you
I am a uk taxpayer and understand that if I pay less income tax and/or capital gains tax in the current tax year than the amount of gift aid claimed on all my donations it is my responsibility to pay the difference.
Your consent (new privacy and data regulations)
We would love to keep in touch with you about our news, activities and fundraising appeals.
You can opt out at any time. If you agree to being contacted, please tick the following boxes - any or all can be ticked.
Full details of how we look after our supporters' data are available in our privacy policy (here: https://www.castlebromwichhallgardens.org.uk/contact/)
*
Required
My preferred way of being contacted is by
Thank you. Please now click here to complete the payment for your membership
A copy of your responses will be emailed to the address you provided.
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