FRIENDS OF ST PETER’S CHURCH, HENFIELD
MEMBERSHIP APPLICATION FORM

I/we wish to join The Friends of St. Peter’s, Henfield and enclose either the subscription at the appropriate rate or a completed Banker’s Order form.

BLOCK LETTERS:

Title:Mr/Mrs/Miss/Dr./The Revd Other: …...….

Name(s): ………………………………..……………………...

Address: ………...…….………………………..………………

……………………………..………………………………..……

………………..….…….….……Post-Code: …..………….…

Telephone No.: ………………………………………………

E-mail: …………...……..…..…………….……………………
When possible, we will contact you by email to save costs.

Signature: ….......…………………….………………………

Date: ………..………………....….……….………… 20……

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ANNUAL SUBSCRIPTION RATES

Subscriptions are due annually on 1 June.
Individual: £7.50;Joint: £10.00;Family £15.00
Cheques should be made payable to "The Friends of St Peter's Church, Henfield".

Please return this Application Form to:

The Honorary Treasurer, The Friends of St Peter's Church, Henfield, c/o The Church Office, St. Peter’s Church, Church Lane, Henfield, West Sussex, BN5 9NY

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BANKER’S ORDER FORM

Please send this form, together with the Membership Application Form, to:

The Honorary Treasurer, The Friends of St. Peter’s Church, Henfield, c/o The Church Office, St. Peter’s Church, Church Lane, Henfield, West Sussex BN5 9NY.

To: [full name and address of the Member’s Bank]

……………………………….…………….…………………………

…….……………………………………………………….…………

…………..………………………Post-Code: .…….…………

Sort-Code: ……..…...Account No.: ….…….…….…

Please pay to:National Westminster Bank plc, High Street, Henfield, West Sussex, BN5 9HQ
for the Account of THE FRIENDS OF ST. PETER’S CHURCH, HENFIELD
Sort-Code:53-50-39 Account No.: 10738843

the sum of £………………………….…………….………….

[amount in words]……………..……………......…………..

commencing on:……..………..…….…………… 20….…
[Please date at least four weeks ahead]
and thereafter annually on 1 June until further notice.

Name [in CAPITALS]: ..…………………….………………

Address: ………………...…………………………..………..

………………….………………… Post-Code: …….………

Signature: .……………………….……………………………

Date: ……………………….………………………… 20….…