I would like to become a Chancel Member for  🗸 £ 5 a month     🗸 £ 50 a year

Your details

Title:  

Name:

Surname:

Address:                                                                  

Email:

Telephone: 

How did you hear about our Membership scheme? 

🗸 in the Gallery  🗸 Mailing list  🗸 At an event (Please specify) _____________ 🗸 I received a brochure in the post  🗸 on social media

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Fabrica, 40 Duke Street, Brighton, UK, BN1 1AG | +44 (0) 1273 778 646 | office@fabrica.org.uk

 

Open for exhibitions only

Registered charity number: 1055584 | Registered Business Number: 3185119

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