Individual and family membership form

Please complete the panels on this screen, then print out the page, sign it and mail with your cheque to the address below :

I wish to apply for membership of Hampshire and the Islands Historic Churches Trust:

Title

First name

Surname

Address line 1

Address line 2

Town

County

Post Code

email

Type of membership required:

Individual Family

I enclose a cheque for £ …….. made out to the Trust
OR
I have completed the Banker’s Standing Order Form .
OR
I have completed the Gift Aid Declaration and the Banker’s Standing Order.

 

SIGNATURE…………………………………………………………TODAY’S DATE……………………………….

 

Please send this form to: G B HUGHES, 75, Downlands Way, South Wonston, WINCHESTER, SO21 3HS

Hampshire and the Islands Historic Churches Trust

Registered Charity No 299633