Membership Application Form

Please enter your details here and the membership officer will contact you to arrange payment.

Name

Name

Email

Phone No.

Address

Post Code

Membership Instructions

Gift Aid

I would like to Gift Aid my membership fee

Notes

I acknowledge I am a UK tax payer

Southend Pier Museum

Western Esplanade

Southend on Sea

SS1 1EE

Contact Details

info@southendpiermuseum.co.uk

or

(Tel /Answerphone) 01702 611214

Southend Pier Museum Foundation Ltd

Company Number 02400655

Charity Number 802105

Accredited by Arts Council No 490

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