SEEDS FOUNDATION

Membership Application Form

Please fill out the form carefully and review it before you upload.
Registered Charity Number 1153528
Welcome to SEEDS FOUNDATION
Name
DOB
Contact No
Email
example@example.com
Address
Postcode
Current Employer
Position
Postcode
Signatures I authorise the verfication of this information provided on this form
Signature of applicant
Date

MonthDayYear
Date
Donation agreement

Select your donation amount. Your data is submitted to us as a form, you will not be charged.
Yes I would like to become a member and donate
£10
Please fill with Y or N
£20
Please fill with Y or N
£50
Please fill with Y or N
Other amount
Payment method:

A) I enclosed a cheque payable to : Seeds Foundation
Cheque No:
B) Debit/Credit Card
Card no
Valid from
Expiry
Regular Donations

Please pay SEEDS Foundation £________ every month (1st of the month) until further notice.
Account Holders Name
Bank Name
Postcode
Account Number
Sort Code
Signature
Date

MonthDayYear
Date
Donation Amount - Make a payment now.

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GBPMake a donation - (Pay Now)
Registered Charity Number 1153528

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Welcome to SEEDS FOUNDATION