Membership Form

Select which category of membership you would prefer

First name Surname

Address (including post code please)

Telephone

Email

I enclose a cheque made payable to The Battersea Society

or

I prefer to pay by standing order

Bank Name

Bank Address (including postcode)

Account Name

Account Number Sort Code

Make your subscription or donation go further - gift aid it!

We can claim back the tax paid on all subscriptions and donations. Simply check the box alongside the following declaration:

I would like The Battersea Society to claim back the tax paid on my subscription and any donations I may make from today's date until further notice. I am a UK taxpayer