Barnes & Mortlake History Society Membership Form

What action would you like to take?
Join the societyRenew membership

Which type of membership would you like to buy?
Individual: (£10 annually renewable on 1 January)Joint (two people at the same address - £15 annually renewable on 1 January)

Your name

Name of second member for joint membership

Address

Postcode

Email

Please note: By giving us your email address, you are consenting to our holding it on a database and receiving emails about the society’s activities. We will not share your email address with any third parties. For further information please see our privacy policy.

Phone

How do you wish to pay for your membership?
Standing order *Preferred* (Barnes & Mortlake History Society - Sort code: 40-02-35, Account no: 41017640)Bank transfer (bank details as above- enter your name in the payment reference field)Cheque. The cheque should be made payable to “Barnes & Mortlake History Society”, and sent to: The Membership Secretary, Barnes & Mortlake History Society, 6 Glendower Road, SW14 8NY.

Please note: For help setting up your standing order, your can use the attached form.

Please tick the box below if you would like us to claim Gift Aid on your membership subscription. This will make your subscription worth 25% more to us.
I would like the Barnes & Mortlake History Society (Charity number 292918) to reclaim Gift Aid on any membership subscriptions I have made over the last four 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.

If you have any questions about this form, please email membership@barnes-history.org.uk