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
Name
Address
Signature .......................................
Date
Phone Number
E-mail address
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,
SW14 8NY
020 8878 0629