Pledge-holder Registration

(By completing this form you are making a commitment to pledge to Bridge2Home up to £50 per annum.)

I/We agree to become a Pledge holder with Bridge2Home.

Number of Pledges (required)

Name/Organisation (PLEASE PRINT) (required)

Address (required)

Postcode (required)

Email Address

Telephone number (required)

I/We understand that each pledge held is a commitment to stand as guarantor for up to £50 per annum.

I/We agree

Please tick in agreement

I/We understand that I/we will be invoiced for all or part of this amount at the beginning of each financial year.

I/We agree

Please tick in agreement

I/We agree to settle this invoice within one month of issue.

I/We agree

Please tick in agreement

Date (required)

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