Membership Form

 

THE PEMBRIDGE ASSOCIATION

Year 2006 Membership

 
Annual Subscription: minimum £3 but many Members pay typically, £5, £10, or £25 and some pay as much as £50 and £100 to support the aims of the Association. We prefer to have a Bank Standing Order since this reduces the administrative burden on the voluntary work of the committee members.

Name(s):
.................................................................................................

Address:
.................................................................................................

 
.................................................................................................

E-mail Address:
.................................................................................................

Tel No:
.................................................................................................

Amount:
.................................................................................................

Please print this out, (or use the separate Cash Subscription Form.pdf),
complete it and and return it with your cheque
to the Hon Treasurer
c/o 13 Rodney House, 12-13 Pembridge Crescent, London W11 3DY
or
you may also complete and return:
Gift Aid Form
Bank Standing Order Form
İThe Pembridge Association
Last Revised:05/02/2006