Membership form - join by post

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This form is for all membership types. Click here for online payment options. Please fill in your details below.

Minimum membership rates. Please tick which membership rate applies to you
Adult £30		Concessions £20	Additional adult at same address: £12	Family/Group: £48*
	*includes Watch, the junior branch of the Wildlife Trusts.
Additional donation:	Please consider whether you could help the Trust to do more for wildlife by increasing your membership payment
	I would like to increase my membership subscription to:
	month / year

Name
Address
Postcode

Please print out, sign and date the form

Signature

Date

Please fill in names and dates of birth of children to be included in Watch membership

Please make cheques payable to'Avon Wildlife Trust' and enclose with application form or download, fill in and send back the Direct Debit form.

Gift Aid: increase the value of your payments by donating your tax too!

I would like Avon Wildlife Trust to reclaim tax on the subscriptions and donations I make today and in the future through the Government's Gift Aid scheme. I can confirm that I am a UK taxpayer and the amount of tax I pay does exceed the amount I would like Avon Wildlife Trust to claim.

Signature

Date

Please return this form to:

Avon Wildlife Trust, FREEPOST (BS6104), Bristol, BS8 1YR

Data Protection: The Data Protection Act 1998, which came into force on 1 March 2001, enhanced the rights of individuals in respect of information held about them. You have rights under the Act in relation to the information we hold about you, which we will have obtained directly from you as a member. If you would like a copy of our Guide to Data Protection, please contact us on 0117 917 7270