Membership Registration

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Your details

Name(Required)

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Email address(Required)

Phone number(Required)

Your address

Address 1(Required)

Address 2

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Post code(Required)

Your payment

Membership fee to pay now

Annual membership fee is £20.00 per household. Subscriptions received from new members after 30th September will cover membership for the following year.

Annual membership

Membership type(Required)

Are you a new member or renewing your existing membership?

Increase by 25% with Gift Aid(Required)

If you choose to add Gift Aid, you are declaring: "I wish to add Gift Aid to this donation and any future donations to The Belsize Society. I confirm that I am a UK tax payer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year, it is my responsibility to pay any difference".

My choice of payment type(Required)

You can pay by Card or by Standing Order (our preferred method), Bank Transfer or cheque. Details appear below.

Payment details(Required)

Please download this Standing Order mandate and send the completed form to your bank.

Only use this option between January 1st and September 30th to avoid double payments.

Here are The Belsize Society details for a bank transfer payment:
Bank: Santander
Name: The Belsize Society
Account: 19524004
Sort code: 09-01-55

Make your cheque out to The Belsize Society and post to:
The Belsize Society, Flat 1, 20 Netherhall Gardens, London NW3 5TH.

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Date of registration(Required)