Membership Application Form

First Member Personal Details

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 a Financial Member in respect of the financial year immediately preceding the date of the AGM at which they intend to vote. Accordingly, payment of membership fees received before June 30, 2019 will entitle you to vote at the 2019 AGM. Payment of membership fees received between July 1, 2019 and June 30, 2020 will entitle you to vote at the 2020 AGM. Any additional tax-deductible donation sent with this form will apply to the financial year in which it was made.