TitleName First Last AddressPostcodeTelephone (home)*Mobile*Email* Corporate Membership*Less than 10 staffMore than 10 staffTotal £ 0.00 I would like to receive the UAH membership updates*YesNoI would like to receive occasional emails about events and campaigns*YesNoGift Aid DeclarationPlease treat as gift aid donations all past, present and future donations.Do not treat as gift aid donations all past, present and future donations.For every pound you give us, we get an extra 25 pence from the Inland Revenue. You must be a UK taxpayer and pay sufficient tax to use Gift Aid. For example you must have at least £7 deducted at source through income or capital gains tax during the current tax year.Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name CAPTCHABy submitting I agree to the Ulster Architectural Heritage Privacy Policy and Terms and Conditions.PhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.
