Friends of Black Nore Lighthouse

Membership Application Form

PLEASE PRINT
Note: Membership is by household, named such as: John Smith, Mr and Mrs Smith, John and Jane Smith


Name:  
Address:  
   
   
   
Postcode/zip:  
Country:  
Tel:  
Mobile:  
Email:  

Cash, Cheque or by Direct Transfer
Cheques payable to Friends of Black Nore Lighthouse

Signed
 
 
Date of application:  

Data Protection: Your information is collected solely for Blacknore Lighthouse Trust CIC purposes and is not passed on to interested parties. Occasionally we may wish to send you email updates which may be of interest. Please indicate if you do not wish to receive these.

Please complete the application form and forward it with your remittance to:

Friends of Blacknore Lighthouse
c/o William Shier
58 Fedden Village, Portishead, North Somerset BS20 8EJ

Direct Transfers may be made to:

Friends of Black Nore Lighthouse
Sortcode: 403733
Bank account 71498851

HSBC, 40 High Street
Portishead, North Somerset
BS20 6EN

Blacknore Lighthouse Trust CIC trading as Friends of Black Nore Lighthouse
Company registered in England no 07648408