PGS Information Pack Request

If you want to support Holsworthy Parish Church and would like a no obligation Information Pack and Application Form please complete the form below.  

Please check that the information you supply is correct.

Only our treasurer will receive the information from you.

Thank you for your interest.

 


Title (Mr, Mrs, Miss etc):*
First Name:*
Surname:*
House Number or House Name:*
Address Line 1:*
Address Line 2:
Town / City:*
Post Code:*
Telephone:
Email:
Any Additional Information:
Church Choice Holsworthy, St Peter & St Paul:
Yes
Please enter the verification number on the right:*
one two one one one
* Required Fields