FRIENDS MEMBERSHIP APPLICATION FORM

Send this completed form to:
Friends of Weald & Downland Open Air Museum
Singleton, Chichester, West Sussex
PO18 0EU, United Kingdom		 Telephone 01243 811893
FAX 01243 811475
e-mail friends@wealddown.co.uk
Your Details   Joint Membership: Second Name
Title Initials Surname Title Initials Surname

         
Address
 
 
Post Code                                                                Tel: (optional)

Type of Membership Required - Please tick the appropriate shaded box(es)

Family - household of 2 adults and their
a) dependent children
b) grandchildren		 Family pa £57      
Adult Single pa £21   Joint pa £42  
Adult over 60 Single pa £18   Joint pa £36  
Junior/Student (Under 18 or a full time student) Single pa £11   Joint pa £22  
The Gift Aid Scheme
If you are a UK taxpayer, making a Gift Aid declaration enables us to reclaim an extra 25p for every £1 you give. This is of great benefit to the work of the Museum. You must pay an amount of income or capital gains tax at least equal to the amount of tax we reclaim.
 
Please tick this box for us to treat this and future subscriptions or donations as Gift Aid      
Signature

 

 Date

 

Payment Method -  Please tick the box

Direct Debit (preferred)   Print this form and fill it in
Print the DIRECT DEBIT FORM
Post both forms to the address above.
Do not email or fax these details as we cannot guarantee security.
Cheque   Post this completed application form with your cheque made payable to 'Friends of the Open Air Museum' to the address above
Credit Card   Post this completed application form with your card details below.
Do not email or fax these details as we cannot guarantee security.
Please debit my *Switch/*Visa/*MasterCard (delete as appropriate)
Card Number                                      
Expiry Date           Switch Card Issue Number