Friends of St Wilfrid's Church Application Form

Please fill in the following name and address details 

Name                  

Address Line 1     

Address Line 2     

Address Line 3    

Address Line 4     

County/State       

Post/Zip Code     

Country              

Telephone No (please include international dialling code if outside UK)

                                      

Email Address     

 

Please click which grade of membership you require from the following list

Youth/student/under25                                                    £10.00 per annum

Individual                                                                          £15.00 per annum

Individual life membership                                             £150.00 one off donation

Joint membership                                                            £25.00 per annum

Joint life membership                                                     £250.00 one off donation

Corporate membership                                                  £100.00 per annum

Donation                                                             

If you wish to Gift Aid your payment (UK tax payers only) please tick the box              

Please indicate how you want to receive information

Post                                                                     

Internet                                                                 

(a password will be provided for you to access a members only web-page)        

Please click here if you wish to pay by PayPal (no account needed)