Membership Application Form

First Member Personal Details

Yes No
Membership Information: 

Payment Information

Not Required for AMEX Card

In accordance with the Rules of Montefiore, in order to be eligible to vote at an Annual General Meeting (AGM), a person must be either a Life Governor or financial member in respect of the financial year immediately preceding the date of the AGM at which they intend to vote. Please note that this membership form relates to the 2018-19 financial year. Accordingly, payment of your membership fees, which must be received no later than the end of the respective financial year (in this instance being June 30, 2019), will entitle you to vote at the 2019 AGM.