Membership Application Form
for the Friends of West Stow
Registered Charity - 279700

Membership is renewed each year in March, and costs £10 (Adult) or £16 (Family).
New members may pay only a portion of this in their 1st year, depending on what time of year they join
(see the table below).

Name:  

Address:  





Postcode:  

Telephone:  

Email:  

Memberships last
until March
Please circle
one amount
  Please make cheques payable to:
  "St Edmundsbury Borough Council"

  Send payment with this form to:
  West Stow Country Park,
  Icklingham Rd, West Stow,
  Bury St Edmunds,
  Suffolk, IP28 6HG

  Or telephone 01284 728718
  with credit/debit card details




  Please Note: Administration fee NOT charged
  if paying by Standing Order.

Standing Order YES / NO
Adult
Family
If you join in:
April, May or June
£10.00
£16.00
If you join in:
July, Aug or Sept
£7.50
£12.00
If you join in:
Oct, Nov or Dec
£5.00
£8.00
If you join in:
Jan, Feb or Mar
£2.50
£4.00
Please add annual
administration fee: £2.00



Total



Yes, I'd like my subscriptions to be treated as a gift aid donation,
       until I notify you otherwise. I confirm I am a UK tax payer.


Yes, I'd like more information on being a Friends Volunteer.



FOR OFFICE USE ONLY
Date        Chq/cash/credit/SO Amount Letter etc. M'card    Index Card Database







PLEASE PASS ALL COMPLETED FORMS TO RANGER/EVENTS

Updated 24 June 2007