FRIENDS OF THE JERSEY EISTEDDFOD APPLICATION FORM
Name: ……….…………………….………………………………………………………………………………………………
Address: …………………………………………………………………………..……………………………………………..
……………………………………………………………………………………………………………………………………..…
Telephone No: ………………………………………………………………………………………………………………..
Email address: ………………………….………………………………………………………………………………….…
Category (*delete as applicable)
* Individual Friend £25 – Joint Friend £40 – Corporate Friend £150
Signature: ………………………………….……………………………………………. Date: ……….….……………
PAYMENT DETAILS for Membership 2025/2026
BACS payment to Jersey Eisteddfod Friends Account
Account No: 00294782 Sort Code: 30 94 61
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