Leatherhead and District Local History Society

Membership Year 2026

To become a member or renew your membership using a credit or debit card, please fill in the form below and press the Submit button.

If you are also paying for an Associate Member (a second member at the same address) please supply their details too, otherwise leave those boxes blank.

Our fees this year are:

 

Title (Mr, Mrs, Ms, Dr etc):
First Name: *
Last Name: *
Email Address: *
Friend of the Museum:  
Donation:
Donation to the Museum:
Gift Aid:  
 
Tick the Gift Aid box if you are currently a UK tax payer and consent to Gift Aid. If you pay less income tax and/or capital gains tax than the amount of Gift Aid paid on all your donations, you are liable to pay the difference to HMRC.
 
 
If there are two members at your address, fill in the other member's details below. If they don't want to receive emails, leave their email address blank.
Associate member's Title:
Associate member's First Name:
Associate member's Last Name:
Associate member's email Address (optional):  
Friend of the Museum: