Warwickshire Wildlife Trust Membership Form

Just complete this form to join us!
Membership category
 Individual £24.00
Joint £30.00
Family (inc. WATCH)* £36.00
Wildlife WATCH* £12.00
Benefactor £60.00
Donation of £...
Reduced (S/U/P)§ £18.00
Reduced Joint (S/U/P)§ £22.00
School/Group £60.00
Corporate £300.00 entry level
Life £600.00

* Wildlife WATCH is the Trust's junior membership.  § S/U/P = Student/Unemployed/Pensioner  VAT Reg. No. 670 3187 40
All subscriptions are minimum amounts and all (except life) last for 12 months from the date of joining.  

Payment method   You can pay by direct debit, credit or debit card, cheque or cash...

Direct Debit - if possible please pay by Direct Debit as this cuts down our administrative costs.  Don't forget to fill in your name and address below on this page too!

Cards: Mastercard, Visa or Switch
Please debit my Card Number      
Expiry Date:   Issue No. (Switch):  Start Date:   

 Signature:_______________________________________              Date:___________________

Cheque / Cash
I enclose to the sum of £ made payable to "Warwickshire Wildlife Trust". 

Your Details / Gift Aid   PLEASE COMPLETE IN BLOCK CAPITALS
Warwickshire Wildlife Trust can reclaim tax you have already paid on the money you give, so making your support achieve much more without costing you another penny.  Please complete your full name, then sign and date the statement below.  If you don't sign then we will not attempt to collect any tax under the Gift Aid scheme but will process your membership in the normal way.

Name:         
Address 1:
Address 2:   Post Code
Telephone:

I wish Warwickshire Wildlife Trust to treat all donations I make including membership monies from today's date, as Gift Aid donations, so enabling the Trust to reclaim the tax, until I notify you otherwise.  I understand that the tax reclaimed by the Trust (currently 28p in the £1) must not exceed the total amount of income or capital gains tax which I pay in any tax year.

Signature:_______________________________________              Date:___________________

  When you have completed this form, please print it, sign it, then return it to us together with your Direct Debit form (if applicable):

Warwickshire Wildlife Trust, Brandon Marsh Nature Centre, Brandon Lane, Coventry CV3 3GW  Telephone: 024 7630 2912  Registered Charity Number 209200  Thank you for your support!