| I would like to join the wildlife trust | ||
|---|---|---|
| Title and Forename: | ||
| Surname: | ||
| Address: | ||
| Town: | ||
| Postcode: | ||
| Telephone: | ||
| Individual | £18 | |
| Family | £22 | |
| Unwaged/Senior Citizen | £10 | |
| Affiliated Society/Group | £22 | |
| WATCH (Junior member) | £12 | |
| More than one child | £14 | |
| Family including WATCH | £28 | |
| Life Member | £250 | |
| I am interested in becoming a volunteer. Please send more details | ||
| I am interested in having a memorial tree planted | ||
| I wish to pay future subscriptions by Direct Debit/Bankers Order | ||
| Please send details of Gift Aid which would enable the Trust to reclaim income tax on my subscription | ||
| I enclose cash/cheque/PO amount | ||
Please print out and complete this page, tick appropriate boxes
and return it to the Membership Officer at:
| Tees Valley Wildlife Trust Margrove Heritage Centre Margrove Park BOOSBECK TS12 3BZ |
Tel: 01287 636382 Fax: 01287
636383 |
The value of your donation can be increased by completing a Gift Aid form, available here.
Cheques payable to Tees Valley Wildlife Trust
Tees Valley Wildlife Trust is a Registered Charity no 511068