Online Membership Form

EBGBS

Home
Latest News
Newsletters
Keeping It Green
Who's Who?
Join/Contact Us
Rules

Membership Form

EBGBS Membership Form

Please help protect our local Green Belt and historic buildings by joining the EBGBS.
Membership runs for twelve months from 1st April each year.

* Indicates required field

Application Type *

Renewal of existing membership(s) New Membership(s)

Membership Type *

Individual Household ( 2 or more people living at same address)

Name of each member

Name *

First

Last

Age of member. Please select one option *

Name *

First

Last

Age of member. Please select one option *

Name *

First

Last

Age of member. Please select one option *

Name *

First

Last

Age of member. Please select one option *

Name *

First

Last

Age of member. Please select one option *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Membership is free, however a donation would be much appreciated to fund our voluntary work.
Suggested donation is £5.00.

I / We would like to make a donation of *

Please type amount of your donation or £0 if you do not wish to donate.

Payment method (please tick) *

Online Bank Transfer Standing Order Cheque Cash

Bank Transfers and Standing orders:
Use your SURNAME as the REFERENCE
Bank Account Name: Elstree and Borehamwood Green Belt Society
Bank Account Number: 30198889
Sort Code: 20-74-09

Cheques:
Please make cheques payable to “Elstree and Borehamwood Green Belt Society”

Cash:
If payment is by cash we advise your form and fees are hand delivered to Mrs Pat Strack, Membership Secretary EBGBA,
36 Carrington Avenue, Borehamwood, Hertfordshire WD6 2HA

Do you wish to receive email updates? *

Yes No

We will not share your e-mail address with any other organisation. We are responsible for ensuring the security and proper use of personal information provided to us. For more information see our Privacy Notice.

Comment - optional *

Optional

Submit

Proudly powered by Weebly

Home
Latest News
Newsletters
Keeping It Green
Who's Who?
Join/Contact Us
Rules