Membership Application Form

Name *
Address *
Please state everyone's full name, one per line
I hereby declare that I pay enough tax to enable The Scottish Czech & Slovak Fund to claim Gift Aid on all my subscriptions and donations from time of the completion of this form
I am happy for The Scottish Czech & Slovak Fund to contact me

When paying by bank transfer, please state your family name as reference. Our bank details are as follows:

Bank: Bank of Scotland
Sort code: 80-02-24
Account Number: 00541960

When sending cheques, please enclose a note stating the names of your children. Cheques must be made payable to:

SCSFund c/o Lucie Russel
44 Somnerfield Crescent
EH41 3RP