Your payment
details: cheque/card
£ £5 (22 or under) £ £25
(recommended minimum) £ £50 £ £75 £ £100 £ Other £ ………………
£ I enclose a cheque made payable to Bracknell Conservative Association.
£ I wish to pay by Card: MasterCard £ Visa £ Start date ££-££ Expiry date ££-££
Card number ££££-££££-££££-££££ Issue
number (if applicable) ££
CVS number £££ (3-digit number on the signature panel on
the back of the card)
Your payment
details: Standing Order
Help us, to help
you
£ I can display a poster at election time £ I can deliver leaflets
£ I can help with stuffing envelopes £ I would like to attend social events
£ I would like to buy draw tickets £ I would like to attend Party Conference
You must be on
the electoral register in the UK excluding the Channel Islands and the Isle
of Man in order to make a donation of more than £200. *By giving us
your email address and/or mobile number, you are agreeing to receive
communications and information from us by email or SMS. If you are
registered for the Telephone Preference Service, by giving us your telephone number you are giving us permission to ignore this and
occasionally call you. ** In order to
qualify as a member with full voting rights, the minimum subscription is
£<insert local amount>. This does not apply if you are 22 or under. Promoted and
printed by M Ballin on behalf of Bracknell Conservative Association>,
both at 10 Milbanke Court, Bracknell, RG12 1RP.
£ I would like to join a local campaign
team £ I would like a Postal Vote