Simply print off this form below and send it to us:

The Secretary, Friends of All Saints' West Ham Parish Church, Church Street, Stratford, London, E15 3HU Telephone: 020 8519 0764

PLEASE PRINT CLEARLY AND GIVE FULL NAME OF EACH PERSON JOINING

Mr/Mrs/Miss/Ms/Dr      Surname………………..First Name & Initial(s)………………………….
Mr/Mrs/Miss/Ms/Dr      Surname………………..First Name & Initial(s)………………………….
Mr/Mrs/Miss/Ms/Dr      Surname………………..First Name & Initial(s)………………………….

Child(ren's) Name(s) and Year(s) of Birth………………………………………………………………...

Full Postal Address…………………………………........................................................

.....................................................................................................................................

Post Code………………………………………..

Day Telephone Number………………………Mobile Number…………………………………………

SUBSCRIPTION RATES (please fully complete this section)
(please tick as appropriate)

ANNUAL SUBSCRIPTION

Single Adult UK                  £15.00
Single Adult Overseas         £18.00
Married Couple UK             £22.00
Mamed Couple Overseas    £25.00
Concessional                     £10.00
Children 5-16 UK                £  5.00
Children Overseas              £  5.00

Single Adult UK                £150.00
Single Adult Overseas       £180.00
Mamed Couple UK            £220.00
Mamed Couple Overseas   £250.00

Enamel Badges (£1.25 each, including p&p)

Donation £____________________

Please make cheques payable to FRIENDS OF ALL SAINTS' CHURCH, STRATFORD

Total amount of cheque/cash/CAF enclosed £…............…….. Date…………………….