Application Form Print

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: