back                                                         M E M B E R S H I P  F O R M

 

To the Brighton West Pier Trust
I /We wish to join as a Member
Please tick one box only
Single
£10 p/a
Joint 2 people, same address
£15 p/a
Corporate Firms, organisations, etc.
£50 p/a
The Trust is a charitable body and a Company limited by guarantee (which means that, should the Trust be wound up, the liability of each member is limited to £1)
I / We agree to abide by the provisions of The Memorandum and Articles of Association of the Trust.
Signed: ..................................................................................
I / We wish to give a donation: £..........................
Date:_ _ /_ _ /_ _    
(or for other methods of payment see here )

Title & Full Names - BLOCK LETTERS please

(For Joint Membership give two names: for Corporate Membership give name of organisation)

 



Address



Postcode


Telephone: (day)


Telephone: (eve)


Email address:


Date


Print this form and send it to:
The Brighton West Pier Trust, Kings Road, Brighton, Sussex BN1 2FL
Tel: 01273 321499 Fax: 01273 726070