Oxfordshire Historic Churches Trust

Application for Membership (Churches / Chapels and Corporate Membership)
Please print out this form, complete it and send it to the Membership Secretary,
Mrs Holly Kilpatrick, 23 Lucerne Road, Oxford, OX2 7QB

Name of Church/Chapel/Institution

Address/Location

Contact Name

Position

Address & Telephone Number

(Please write the above in BLOCK letters)

wishes to apply for corporate membership of the Oxfordshire Historic Churches Trust
(minimum annual subscription £25)

Enclosed please find our cheque* for £ ...............

Please send me a Banker's Order form* ........... (please tick)
(Those applying are encouraged to make payment by Banker's Order
as this considerably reduces the ative work of the Trust).

(*delete as necessary)

Signed ...............................................................

Date .....................................................