BECOME A MEMBER AND/OR JOIN THE MAILING LIST
Please print off this form, complete your details and send with your donation to the
Temenos Academy at the address below.
I wish to become a Friend or Benefactor of the Temenos Academy and enclose a donation
of (minimum £30 p.a.):

£30 (Friend – unwaged) ……….
£60 (Friend) ……….
£200 (Benefactor) ……….
Other £ ……….
US$ equivalents accepted. Overseas applicants are requested to apply at the £60 level
(minimum) if possible.
I am not able to make a donation
but please add my details to your mailing list ……….

NAME……………………………………………………………………………….
ADDRESS…………………………………………………………………………….
……………………………………………………………………………………….
……………………………………………………………………………………….
POSTCODE…………………..PHONE or EMAIL………………………………....
Note: for credit card payments this must be your full address as it appears on your credit
card statement.
BY CHEQUE
Enclosed please find a cheque payable to The Temenos Academy for £…………….

BY CREDIT CARD
Visa, Mastercard and Delta Debit cards accepted
Please debit my credit/debit card by the amount of £……………….
Card No…………………………………………Expiry date……../……..
Card Security Code (last 3 digits on signature strip at back of card)…………….
Name on the card……………………………………………
Signature……………………………..Date…………………

Print off this form and post it to:
The Temenos Academy, P O Box 203, Ashford, Kent TN25 5ZT.