Application Form Print

WEST SURREY NATIONAL TRUST CENTRE

Application for Membership

To: Mrs Susan Terry, 17 Junewood Close, Woodham, Addlestone, KT15 3PX

I am a member / we are members of the National Trust and wish to join the West Surrey Centre.

Name: Mr / Mrs / Miss / Ms

NT Membership Number:

Name: Mr / Mrs / Miss / Ms

NT Membership Number:

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: