Either complete the form on line and print off, or print off first and fill in.
Individual: £10 per year
Joint: £15 per year (two people at the same address, receiving one copy of the newsletter).
I/We wish to join the Barnes & Mortlake History Society.
I enclose £10 for individual membership
We enclose £15 for joint membership
I/we have set up a Standing Order ∗
If you give us your e-mail address, you are consenting to our holding it on a database and receiving e-mails about the Society's activities.
Gift Aid - make your subscription worth 28% more ! (Please tick this box)
I would like the Barnes and Mortlake History Society to reclaim Gift Aid on any membership subscriptions I have made over the last six years and in the future until I notify you otherwise. I confirm that I have paid an amount of UK income or capital gains tax equal to any tax reclaimed and I will notify you if my circumstances change.
Please send the completed form with a cheque to:
The Membership Secretary,
Barnes & Mortlake History Society,
6 Glendower Road,
020 8878 0629
∗ To set up a Standing Order you can use the attached form.