Become A Member

Becoming a member

Become a member of the Friends Of Caterham Dene Hospital?

To become a Member of the Friends of Caterham Dene Hospital fill in your details in the form below.

Your details
Title - Mr/Mrs/Miss/Ms/Other*
First Name*
Surname*
Email Address*
Telephone*
Address
Post Code
*required fields
Tax Recovery Declaration - Gift Aid Boost your donation by 25p of Gift Aid for every £1 you donate
Please tick the button on the right if you would like us, Friends of Caterham Dene Hospital, to reclaim the tax paid on your donation and any previous or future donations. You must be a UK tax payer and understand that if you pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on your donations in the tax year, it is your responsibility to pay any difference.
Standing Order Mandate
To the Manager of*
Branch Address*
Post Code*
Sort Code*
Account Number*
Account Holder's Name*
Please pay (amount - minimum £10.00) per year*
Signed*
Date*

Contacting the Friends of Caterham Dene Hospital

In the first instance please contact us using this email address:
Email: friends@focdh.org.uk