On-Line Membership Application Form

Please type in your name (title / forename / surname)  

Please enter your address   

and postcode   

Please enter your phone number in full   

Please enter your e-mail address if you have one   

Current subscription rates are:

Gift Aid and banker's orders


As our Society is a registered charity we can recover income tax paid on your subscription.

Do you pay UK income tax?
Yes
No
Please indicate: I wish you to treat my subscriptions as Gift Aid Yes No
Please send no payment. We shall offer you a banker's order form.
If you chose Gift Aid your choice can then be confirmed in writing.

  
When you have checked that the data entered on the form is correct, please click the 'Send application' button and wait a few moments while you are transferred to the Thank-You page.
To Beeston Civic Society home page

This page last updated Wed 2nd January 2008