The Friends of St Mary's

ORDER & REGISTRATION FORM

To Order :
Thank you for searching our web site, if you would like to place an order, please take a print of this order form, and enter the items you want, complete your name & address etc, and send the form with your payment to the address below.

Please Supply :

Quantity

Title

Price Each

Order Value

...........Copy	"A Short History of St Mary's. Little Crosby"	£2.00	£__________
...........Copy	"St Mary's, Little Crosby, A History"	£ 7.50	£__________
...........Copy	"Churchgoing in Little Crosby"	£ 5.00	£__________
...........Copy	"In a North Country Village"	£ 11.00	£__________
...........Copy	"The Recusant Blundells of Crosby"	Sold out - to be re-printed	£__________
		Sub-Total	£__________
Postage and packing - Up to £10 please add £2.00 - over £10 please add £2.50			£__________
		Order Value	£__________

Yes, I would also like to join "The Friends of St Mary's, Little Crosby"
Life Membership £100.	Annual Membership £10 p.a.	Enter choice	£__________
Corporate Membership £20 p.a.	Family Membership £15 p.a	Voluntary Donation	£__________
Young Persons (18 to 21) £5 p.a.		Grand Total	£__________

Cheques payable to "The Friends of St Mary's, Little Crosby"

Gift Aid If you pay UK tax, you can make this and any subsequent payments to "The Friends" worth 20% more - at no extra cost to you. Simply tick the box below, and we can claim the tax already paid out on your gift.      Thank you.   I want The Friends of St Mary's to treat this, and all payments from the date of this declaration until I notify you otherwise, as Gift Aid donations.

My details are :

Name :_________________________________     Telephone : ________________________

Address :______________________________________________________________________

Town :__________________________________    Post Code :____________________

Please send your order and remittance to :

Mr Adam Walker, 114 Cambridge Road, Blundellsands, Liverpool L23 7UA

Thank you for supporting St Mary's, Little Crosby.