Become a friend of
HB Town Hall project

 Town Hall

When you submit the form below you will be
forwarded to our Pay Pal online payment page.

Mr/Mrs/Miss/Ms

First name

Last name
E-Mail:
Address:
Postcode:
Phone:
Mobile:
Age

Under 18
18-29
30-45
45-60
60-75
75+

I enclose a donation of . . . .

£100 (Gold member)
£10 (standard)
£5 (low income)
£2.50 (under 18)

Gift Aid Declaration: I am a UK tax payer, and confirm that I wish to make this and any future donations to Hebden Bridge Community Association through the Gift Aid sceme.

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Hebden Bridge Town Hall project