Title:
Name:
Address:
Town or city:
County:
Postcode:
Telephone
E-mail:
PAYMENT -- please make cheques payable to Friends of Dyffryn Gardens
Category of membership
Amount paid::
Date::
(I have no objection to my name and address being held on a database for the use of Dyffryn Gardens and the Friends thereof)
Complete and print off the form then post with your subscription and a stamped addressed envelope to:The Membership SecretaryFriends of Dyffryn Gardens18 Swallowhurst CloseMichaelstone-super-ElyVale of GlamorganCF5 4TF