Membership Form

Please fill in the form, print it off
(using the button at the end)
and send it 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
Organization
Street address
Address (cont.)
City
County Postcode
Borough Country
Home Phone Work Phone
E-mail
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:

Please choose method of payment

Subscription by Cheque

I/we enclose a cheque for £ payable to London Parks & Gardens Trust

Subscription by Credit / Debit Card

I authorise the Charities Aid Foundation, Ref. No. 7663-09, acting on behalf of CAF / London Historic Parks & Gardens Trust to debit my under mentioned credit / debit card with the sum of £

Type of card
Account Number
Expiry Date
Start Date
Switch Issue No
Security Number
Cardholder's Name
Address
Post Code
Cardholder's Signature Date:
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.