THE FRIENDS OF

CANNIZARO PARK

To join the Friends of Cannizaro Park fill in your details below, choose your preferred
form of payment, print out the application, and send it to
Friends of Cannizaro Park, c/o Willow House, 35 High Street, Wimbledon, SW19 5BY.
We will contact you to confirm your membership in due course.  

Membership Application
 

Your title/name:
Your address (inc postcode):
Your phone number:
Your email address:

I enclose my annual subscription of £5/single life membership payment of £100 per person (delete as applicable)

Signed                                                                         Date

I also wish to donate  the sum of £             to support the aims of the Friends. Please make cheques payable to Friends of Cannizaro Park.

BANKER’S ORDER
Title and first name(s):
Surname:
Account details PLEASE TRANSFER FROM
Sort code:                                                                                                                   Account no:
Bank/building society name:
Address:                                                                                                                      Postcode:

To: Friends of Cannizaro Park, Halifax PLC Treasurer’s Account, Branch 0852/00 Wimbledon, Unit 116, Centre Court, London SW19 8YA
Sort code: 11-08-52       Account no: 00281271

The sum of (amount in figures) £                (amount in words) commencing 2nd April       and every year thereafter until you receive further notice in writing from me.  
Signature Date

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