Membership form
Minimum membership rates Please tick which membership rate applies to you
Adult
£24		 Concessions
£16 		Additional adult at same address: £12 *Family/Group:
£42
    *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
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 fill in credit card details below, 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
Credit card: Please debit my credit card for the above amount (please fill in details below in block capitals).
Name of cardholder Date of expiry
Signature Card No.
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
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