I enclose a cheque for £25 made payable to to Friends of Northern Broadsides
I wish to pay by standing order and attach the relevant form
(click here to view the standing order page. Print by right clicking and selecting print)
Lifelong membership:
I enclose a cheque for £250 made payable to Friends of Northern Broadsides

.....



Please tick this box if you would like to have your name in our programme.
I would like Friends of Northern Broadsides to treat this donation as a *Gift Aid donation.*If you are a UK taxpayer, tick this box and add 28p to every £1 of your membership subscription.



I understand that my details will be held by Northern Broadsides for the purposes of the Friends scheme and consent to being contacted: by mail by e-mail by telephone

Signed:________________________________ Date:__________________________________
 
: How to use this form :

This form is designed to be printed out rather than being be sent via the web.

You can either type in the relevant information prior to printing (e.g. name, address etc) and tick the boxes by clicking on them with your mouse, or print out the form and fill in your details by hand.

Please return your printed form to: Friends of Northern Broadsides, c/o Northern Broadsides, Dean Clough, Halifax, HX3 5AX.


Annual Membership: