Thank you for your payment for the GXCA membership.

Please submit the GXCA application form.

MEMBERSHIP APPLICATION FORM

(the membership year runs from 1st April to 31st March)

Membership fees 2025: Individuals £25, Couple £40, Family £50, Life £1000

Title (Mr/Mrs/Miss/Other):

Last name

First Name:

Address

Company name

Phone

Gift Aid

If you would like to donate a larger amount with Gift Aid, please contact the office.

Type of Membership Required:

Single (£25) ONE car permit

Family (£50) THREE car permits

Couple (£40) TWO car permits

Life (£1000) THREE car permits

If you are selecting Family or Couple membership, please enter the names, emails, car registration numbers of all included members

FREE CAR PARKING AT GXCA FOR MEMBERS

As a member of GXCA you will receive free parking throughout your membership year. Please enter the car registration number(s) for your parking disc and our records:

VEHICLE 1:

VEHICLE 2 (couple, family and life members only):

VEHICLE 3

Terms & Conditions Agreement

By ticking this box, I confirm that I have read and agree to the Terms and Conditions and Privacy Policy

Contact Permissions

By ticking this box I consent to receiving communications (updates, offers and news via email, phone or SMS) from GXCA. You can unsubscribe at any time.

If you are selecting Family or Couple membership, please enter the names, emails, car registration numbers of all included members

Membership Benefits include:

Free parking (4 hours, no return 1 hour)
Early access to Summer School
10% off cafe prices

Gerrards Cross Community Association, 8 East Common, Gerrards Cross, Bucks SL9 7AD Telephone: 01753 883759 Website: www.gxca.org.uk Email: office@gxca.org.uk

The information provided on this form will be held on computer records but will not be divulged to third parties. Registered under the Data Protection Act.

Thank you for your payment for the GXCA membership. Please submit the GXCA application form.

MEMBERSHIP APPLICATION FORM

Thank you for your payment for the GXCA membership.

Please submit the GXCA application form.