JACK AND JILL WINDMILLS SOCIETY

Registered Charity No. 1118285
www.jillwindmill.org.uk      Email : jillwindmill@hotmail.co.uk

 

MEMBERSHIP / RENEWAL FORM

 

Please fill in this form and send it with your subscription to:

 

Paul Barber, 53 Brambledean Road, Portslade-by-Sea, East Sussex. BN41 1LP

 

I wish to join / renew my membership of Jack and Jill Windmills Society

and enclose my subscription as below.

I am aware that I will be liable to a maximum of £ 1 in the event of a claim against the charity that cannot be met from its funds.

 

Life £40		Donation £
Individual £2.50 pa
Family    £5 pa		Total        £
Junior (Under 16) £1.50 pa

 

Date of birth if Junior___________________________

 

Signed    __________________________ Date____________________________

 

Name      __________________________________________________________

 

Address__________________________________________________________

 

________________________________________________________________

 

________________________________________Postcode_________________

 

Email address _____________________________________________________

 

I wish to receive my membership letter by email   Yes / No

 

Cheques should be made payable to “Jack and Jill Windmills Society”

 

I am interested in helping:-

 

As a guide on open days		As a guide on weekdays
On the teas / souvenirs stall		With restoration & maintenance

 

My telephone number is _____________________________________