Application form
[B020]
Annual membership
Please note: All memberships are renewable every January.
Payment by cheque or postal order.
When complete please send to:
Mr John Swingland, Hon. Membership Secretary,
2 Gaudick Place, Eastbourne, BN20 7RQ.
Individual £18 or Joint (one address) £23 £ ________
Donation to the Society £ ________
TOTAL AMOUNT £ ________
I enclose a cheque/postal order for the total above made payable to The Eastbourne Society.
Name _______________________________________________________
Telephone ___________________________________________________
Address _____________________________________________________
____________________________________________________________
Postcode ____________________________________________________
Email ______________________________________________________
Yes, I want The Eastbourne Society to treat all
subscriptions and donations I make from the date of
this declaration until I notify you otherwise, as Gift
Aid donations.
Date _______________________________________________________
Signature ___________________________________________________