WEST SURREY NATIONAL TRUST CENTRE
Application for Membership
To: Mrs Gisela Duckworth, 21 Heenan Close, Frimley Green, Surrey, GU16 6NQ.
I/we wish to join the West Surrey Centre.
Name: Mr / Mrs / Miss / Ms
NT Membership No.if applicable:
Name: Mr / Mrs / Miss / Ms
NT Membership No. if applicable:
Address:
Post Code:
Telephone number:
E-mail address:
Where did you hear about the Centre:
Our Annual Subscription is £8.00 per household; any additional amount will be gratefully received as a donation to Centre funds for local properties.
Cheques should be made payable to “West Surrey National Trust Centre”.
AMOUNT ENCLOSED: £
I/we acknowledge that I/we have read the Centre Privacy Policy and wish to join the West Surrey National Trust Centre.
Signature:
Date: