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Become a Friend of Epworth Old Rectory

To become a Friend of Epworth Old Rectory please complete the form below.

Please note:

  1. all information submitted on this form will be used by Epworth Old Rectory ONLY and nothing will be passed on to third party organisations.
  2. we do not use COOKIES on this form and so the details you provide will not be retained beyond this enquiry.
Title:
(Mr, Mrs, Mr & Mrs, Rev etc.)
First Name:
Surname:
Phone Number:
(optional)
Email Address:
Address 1:
Address 2:
Address 3:
Address 4:
Post Code:
Gift Aid:
(see details below)
GIFTAID: For UK Friends ONLY. I confirm that I am a UK taxpayer and authorise Epworth Old Rectory to recover income tax at the Standard Rate on all my recorded gifts to its funds from 2012 until this authority is cancelled in writing.
Comment / Request:
Epworth Old Rectory, 1 Rectory Street, Epworth, North Lincolnshire DN9 1HX
Telephone: 01427 872268 - Registered Charity Number: 1140335