Membership Form HomeSupport usJoin our membership schemeMembership Form To join our membership scheme, simply fill in the form below. I would like:*Silver Festival Membership (£10 per year, billed annually)Gold Festival Membership (£25 per year, billed annually)Joint Silver Festival Membership (£17.50 per year, billed annually)Joint Gold Festival Membership (£40 per year, billed annually)Gift Silver Festival Membership (£10 per year, billed annually)Gift Gold Festival Membership (£25 per year, billed annually)Festival Membership (I would like to specify an amount as a donation)If you would like to make a donation, please specify an amount that is more than the £10 silver membership fee, so if you specify £20, you will be donating an extra £10.How much would you like to donate? Billing options Make this a one-time donation Check if you do not wish your membership to be renewed automatically each year.Gift Aid I am a UK Tax Payer and wish my contributions to be treated as gift aid for Wirksworth Festival to reclaim basic rate income tax First name*Last name*Email address* Address 1*Address 2Town/City*CountyPostcode*Telephone*Total £ 0.00 Mailing list I would like to be kept up to date with news about the festival Wirksworth Festival will use the information you provide on this form to be in touch with you by email and to provide you with updates relating to being a member of Wirksworth Festival. We will treat your information with respect. Click here for more information about our privacy practices. By submitting this form, you agree to us using your data in this way. You can change your mind at any time by contacting us at email@example.com.