THE PECKHAM SETTLEMENT

APPLICATION FOR MEMBERSHIP

Please print off this form and send it to: Michael Fowke, The Chair, The Peckham Settlement, c/o 107 Fenham Road SE15 1AE

        Membership is not limited to individuals but is also open to companies, schools and other charities which the Executive Committee may approve. Strictly, only Members are entitled to become members of the Executive Committee. Members are entitled to attend and vote on resolutions put to the Annual General Meeting.

I support the aims of The Peckham Settlement and wish to become a member.

I enclose my subscription of £10 (ten pounds) for the year ending 31st March 2017.

 

Signature                 

Name (CAPITALS PLEASE)                   

Address (CAPITALS PLEASE)                 

  

Email                            

Phone        

I am a UK taxpayer and would like this and any further donations to be Gift Aided until further notice so as to increase their value to the Peckham Settlement.        

                                    (delete as applicable)                YES / NO