Individuals

Personal Membership form

Renew Personal Membership form

Evangelical Alliance Whitefield House, 186 Kennington Park Road, London SE11 4BT Tel 020 7207 2100

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Renew Personal Membership form

Renew Personal Membership

If you wish to become a member of the Evangelical Alliance for the first time please use the Personal Membership Form

Your Details

Membership Number:
if known

Title:*

First Name*

Last Name*

House number / name:*

Address:*

Address:

Town / City:*

County:

Postcode / ZipCode:*

Country:*

Email address:*

Telephone number:

Mobile number:

Date of Birth:

I/We would like to renew my/our membership of the Evangelical Alliance and I/We have read and agree with the Basis of Faith.

Suggested donation:

Individual membership £25.00

Joint membership £30.00
( Please specify partners name )

Student / Unwaged £5.00

Amount:* £

Gift Aid: Explanation (opens in a new window)

I understand that I must pay an amount of United Kingdom Income Tax and/or Capital Gains tax that is at least equal to the tax that the charity reclaims on my donations during the tax year, (currently 28p for each £1 you donate).
I want the Evangelical Alliance to claim tax on this donation

and all my subsequent donations

and any donations made since 6th April 2002.

* = Required information for Credit Card Verification.

Evangelical Alliance does not receive or hold any credit card details for donations/payments made via this website. All credit card payments are handled by our agents 'Securetrading'. Secure Server Software (SSL) is used to encrypt all credit card information sent from this website.
Data Protection Act 1998: By providing your personal details you agree to allow the Evangelical Alliance to contact you by mail, email, telephone or SMS text message in connection with its charitable purposes. Evangelical Alliance does not make personal data available to other individuals or organisations, except under confidentiality agreement to the Alliance's Local Evangelical Fellowships.

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Last Modified: 18 March 2008

The Evangelical Alliance.
A company limited by guarantee Registered in England & Wales No. 123448.
Registered Charity No: 212325.
Registered Office: Whitefield House, 186 Kennington Park Road, London, SE11 4BT

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