Membership Renewal Form

This form can be used to renew your annual membership to the Friends of Osborne online. The fields marked with an * require entries. When complete, please ensure that you press the blue SUBMIT button.

Name *

First

Last

Email Address *

Membership Number(s) *

Please state the membership numbers of all those to be renewed.

Membership Card(s) Expiry Date

2nd Name (if renewing a Joint Membership)

First

Last

Name of Child or Student member

First

Last

Name of Child or Student member

First

Last

Name of Child or Student member

First

Last

Membership Fees *

Individual membership subscription - £20.00
Joint membership subscription - £35.00
Child (age 3-17) at address of adult subscriber - £5.00
Student (age 18-23) with proof of full-time education - £10.00

Tick which membership categories are required. (For more than one child or student, just tick the child or student box.)

Payment amount *

Please include the total amount for the required renewed memberships.

Please state payment method *

BACS - HSBC Bank - A/C No 71781472 - Sort Code 40-34-26
Cheque made payable to FRIENDS OF OSBORNE

BACS reference (if payment made via bank transfer)

Please use your membership number as your BACS reference

Date cheque sent (if payment by cheque)

Cheques to be sent to The Membership Secretary, Friends of Osborne, Osborne House, East Cowes, Isle of Wight, PO32 6JX.

GIFT AID DECLARATION* (If you are a UK Taxpayer, this will allow Friends of Osborne to reclaim 25p on every £1 that you give on your membership subscription and additional donations. Please state that you are happy for us to do this by ticking the box below.)

I want to Gift Aid all subscriptions and donations I have made to the Friends of Osborne (charity number 1163175) in the past four years or make in the future, since the date of this declaration and any subscriptions or donations I may in future to be gift aid* donations unless I notify you otherwise. I confirm that I pay at least as much UK income or capital gains tax as will be reclaimed by all charities on my donations in each tax year.

Please give details of any name, address or Email changes, and any other comments you may have.