Membership Form (direct debit)

Please fill in the form and print it off (using the button at the end).
Print off your Direct debit mandate and complete it manually.
Send both forms to this address:
» The Membership Secretary
London Parks & Gardens Trust
Duck Island Cottage
c/o The Store Yard
St James's Park
London SW1A 2BJ
Your membership details
First name Last name
Street address
Address (cont.)
County Postcode
Borough Country
Home Phone Work Phone
Please select membership category

Please indicate which specific areas of the Trust's work you may be able to help with or what skills you may be able to offer:

Bookstall Fundraising Publications
Children's Education Information work Publicity
Computer work Open Garden Squares Weekend Research
Conferences Newsletter Social events
Conservation issues Office work

I would like to represent the Trust in my neighbourhood / borough / park:

Gift Aid

We can reclaim the tax on your donations - it costs you nothing!

I would like the London Historic Parks & Gardens Trust to reclaim the tax on any donations that I make. I have paid an amount of UK income tax or capital gains tax equal to any tax claimed.

Signature Date:

After completing this form, please print it off and send it to the address at the top of this page, together with your completed direct debit mandate (PDF 70kb in new window).