Membership of Friends of Shirenewton Church

Becoming a friend of Shirenewton Church costs £10 per calendar month or a single annual payment of £100.

To pay either by cheque or by monthly standing order please print this form (using your Browser's standard print option), complete it and return it to:

Kevin Bounds, Church Treasurer, The Chantry, Shirenewton, NP16 6RL

 

 

I attach a cheque for the annual fee of £100 (payable to “SPC Extension Fund”)

 

I would like to pay by monthly standing order

Standing Order Payments:

To the Manager

Name of your bank

 

 

 

Branch/Address

 

 

 

Name on Account

 

 

 

Sort Code

 

Account Number

 

Please pay Shirenewton Parish Church (Bank: HSBC, Chepstow; Sort Code: 40-17-11; Account: “SPC Extension Fund”; Acc #:81410334) the sum of £      per month/ annually (               pounds only per month/year) starting                       2007 until I cancel this request.

Signed:

 

Name

 

Address

 

Phone Number:

 

 

tick here

“I am a UK taxpayer. I want Shirenewton Church to treat this donation as a Gift Aid donation under the Gift Aid scheme”.  

Preferences:

Name for register*:

 

Email address for newsletters:

 

* If you do not wish to have your name on the register please indicate this here.