Friends of St. Michael's Membership Form

HOW TO JOIN THE FRIENDS
You can become a "Friend of St. Michael's" by making a minimum contribution of £15 per year (£25 to cover 2 adults at the same address). Please complete the form below and return to our Membership Secretary. Alternatively, you may like to complete the Bank Standing Order section below, which should also then be sent to our Membership Secretary. She will then arrange for the authority to be implemented on your behalf. Please remember to fill in the amount you wish to contribute!

Your Details:
Title: (Rev/Mr/Mrs/Ms/Miss etc)  
Surname:  
First name:  
Address:  
Post Code:  
Tel No (incl. full code):  
[   ] I enclose a donation of £ ........... to help in the work of The Friends of St.Michael's.

[   ] I enclose a donation of £ ........... and ask you to enrol me as a Friend of St.Michael's.

[   ] I wish to pay by annual standing order. (Do not send any money now - complete the form below)

 

Bank Standing Order:
Name and full postal address of your Bank branch:
To: The Manager, .......................................... Bank Plc.
Sort Code:  
Address:  
Post Code:  
On receipt of this Authority, and annually on the 1st day of .................... (insert month) thereafter, please pay to The HSBC Bank Plc, Betws-y-Coed (sort code 40-10-11) for the Account of "Friends of St. Michael's" account number 71047531 the sum of £............. (minimum fifteen pounds) quoting reference ....................... (please leave blank).

Name of account to be debited ....................................................

Account No. to be debited ..................................

Signature ..........................................    Date ...................................

Please ensure that this form is returned to our Membership Secretary at the address below and NOT your Bank.

Ms Kathy Laws, Afallon, Tanygrisiau, Blaenau Ffestiniog, Gwynedd, North Wales LL41 3RH (Tel: 01766 830328)