Traditional Buildings Health Check Member App and payment

Traditional Buildings Health Check

Membership application
Property Address*

Street Address

Street Address Line 2

CityCounty

Postcode
Which of the following are you?*

Owner OccupierLandlordLessee or TenantHousing AssociationPublic AuthorityCommunity GroupFaith OrganisationCharity
Applicant Contact Details
Name*

PrefixFirst NameLast Name
Contact address

Same as above property address
Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Number

Area CodePhone Number
Mobile Number*
Phone Number*

Area CodePhone Number
Phone Number*
Email*
example@example.com
Your building

Tell us a bit more about the building your property is in.
Which of the following applies to the building?*

Building contains a single propertyBuilding contains multiple properties
Is it:*

ResidentialCommercialMixed (e.g. a mix of shop and residences)A civic or public buildingA community buildingA place of worshipOther
Is your building:*

DetachedSemi-detachedTerracedOther
Property Council Tax Band. To find your properties Council Tax Band visit saa.gov.uk*

ABCDEFGHNon-domestic
How many properties are there within the building (residential and non-residential)*

1 - 45 - 67+
Other information

How would you rate your understanding of how to maintain and repair a traditional building?

	1	2	3	4	5

1 is Not very good, 5 is Excellent

How confident do you feel in choosing the right repairs for your traditional building/

	1	2	3	4	5

1 is Not at all, 5 is Very confident

What is your main reason for becoming a member of the scheme?:

I would like to know if there are any problems with my propertyI am aware I need work done to my property and would like expert adviceI recently purchased a traditional building and would like a ‘health check’I would like to use the service to support me in repair and maintenance of my propertyOther
How did you hear about the Traditional Buildings Health Check Scheme?

Online Search (Google, Bing etc)Love LocalPrint advertising (flyer, poster, banner)Social MediaWord of MouthStirling CouncilEngine Shed/Historic Environment ScotlandI am currently or was previously a memberA recent eventHousing Association/LandlordBuilding ContractorLocal Newspaper/MediaLove your Building campaign
Referral name
Data Protection

We use the above information provided by you to service your membership. This includes sending you invoices, appointment details, reports and details on membership offers and events. Your personal data will not be passed to any third party. For full details of our Privacy Policy visit https://traditionalbuildingshealthcheck.org/privacy-policy/
Let us know what package you're applying for*

One year membership £50.00. Annual membership to the scheme.Two year membership £90.00. Save £10 by joining for two years.Membership package SAVE £25 £300.00 (inspection + one year membership)
Let us know what package you're applying for*

One year membership £50.00. Annual membership to the scheme.Two year membership £90.00. Save £10 by joining for two years.Membership package SAVE £25 £350.00 (inspection + one year membership)
Let us know what membership you're applying for*

One year membership £50.00. Annual membership to the scheme.Two year membership £90.00. Save £10 by joining for two years.
Total
Would you like to pay now or pay later*

Pay nowPay later

Payment details

You can pay later by either BACs or cheque

Make a Bank Transfer

Our BACs details are as follows:

Sort code: 83-27-09 Account Number: 10844912

Send us a cheque

Cheques should be made out to Stirling City Heritage Trust and sent to:

Cameron House, Forthside Way, Stirling, FK8 1QZ
Contact preferences
Stirling City Heritage Trust take your privacy seriously. We will only use your personal information to administer your membership account and to provide you with the membership services and benefits which the Traditional Building Health Check Scheme offers.

However, from time to time we would like to contact you by email, post or telephone to ask you for feedback on our service or to send you information about new services or promotions which we think you may find interesting.
If you consent to us contacting you for these purposes please tick the boxes below to tell us how we can contact you (tick all which apply):

EmailPostTelephone
Should be Empty:

Traditional Buildings Health Check

Applicant Contact Details

Your building

Other information

Data Protection

Payment Methods

Contact preferences