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.

Consent:*	I understand that the information I provide in this contact form will be stored electronically. The data will only be used by the Parochial Church Treasurer for the purpose of my enquiry and not shared with a third party outside of this Benefice.
Title (Mr, Mrs, Miss etc):*
First Name:*
Surname:*
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:*
* Required Fields