The Friends of Wesley's Chapel - Application Form

Details of membership

Annual Suscription UK £20, Overseas £30

Joint Suscription UK £40, Overseas £50

Life membership UK £500, Overseas £600

*I/We enclose a cheque/postal order to the value of £.............. in payment of * Annual/Joint/Life Subscription for the Friends of Wesley's Chapel.

Cheques should be made payable to: Friends of Wesley's Chapel.
Send to: Wesley's Chapel, 49 City Road, London EC1Y 1AU

Name: .................................................................................

Address: .............................................................................

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

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

Telephone No. .....................................................................