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FRIENDS OF THE JERSEY EISTEDDFOD APPLICATION FORM

Name: ……….…………………….………………………………………………………………………………………………

Address: …………………………………………………………………………..……………………………………………..

……………………………………………………………………………………………………………………………………..…

Telephone No: ………………………………………………………………………………………………………………..

Email address: ………………………….………………………………………………………………………………….…

Category (*delete as applicable)

Signature: ………………………………….……………………………………………. Date: ……….….……………

PAYMENT DETAILS for Membership 2025/2026

BACS payment to Jersey Eisteddfod Friends Account

Payment Amount: £25.00 £40.00 £150.00 (please circle amount paid)

STANDING ORDER FORM for Membership from 2026

Name: ……….…………………….………………………………………………………………………………………………

Address: …………………………………………………………………………..……………………………………………..

……………………………………………………………………………………………………………………………………..…

To The Manager, ……………………….…………………………………………………………… (name of Bank)

Bank Address: …………………………………………………………………………..…………………………………….

……………………………………………………………………………………………………………………………………..…

Your Bank Details: Account No & Sort Code: ………….……………………………………………………….

Please Pay: (£ ) ……………………………….… each year, the 1st payment to be made on 1st December

2026 and annually thereafter on 1st December.

To: Lloyds Bank plc, PO Box 10, 9 Broad Street, St Helier, JE4 8RG

Account No: 30 94 61 00294782 – Jersey Eisteddfod Friends Account

Signature: ………………………..………………………….……………..………. Date: ………………………………

1 Our Policy on Data Protection Your personal information is protected by the Data Protection (Jersey) Law 2005. We respect the privacy and confidentiality of your information and will not disclose it to third parties without your consent unless required to by Law. We would like to keep you up to date with events and news about the Jersey Eisteddfod. By providing us with your E-Mail address, you consent to receive periodic E-Mails from the Jersey Eisteddfod. If you wish to opt out of receiving information regarding the Jersey Eisteddfod, please E-Mail the General Administrator at: admin@jerseyeisteddfod.org.je