Existing Member Subscription Form

1

TITLE* This field is required.

Mr

Mrs

Ms

Miss

Mx

Dr

Other

2

NAME* This field is required.

First Name

Last Name

3

EMAIL* This field is required.

example@example.com

4

Please enter your membership number* This field is required.This is the four digit number on your membership card.

5

Would you like to gift aid your subscription?* This field is required.This allows you to boost your donation, and any further donations, by 25p for every £1 you donate. Gift Aid is reclaimed by the charity from the tax you pay for the current tax year. By selecting 'Yes' you declare that you are a UK taxpayer and understand that if you pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all donations in the tax year, it is your responsibility to pay any difference.

Yes

No

6

NOTESPlease use this field to notify us of any changes, for example if you want to change from a single to a joint membership, or if you have changed your address or contact details.

7

Choose your subscriptionWe offer single, joint and concession memberships. Single memberships are for one adult, joint memberships are for two adults and concessions are available for students and those in receipt of benefits or a state pension.

Concession Membership
£20.00 for each year
SUBSCRIBE
Joint Membership
£40.00 for each year
SUBSCRIBE
Single Membership
£25.00 for each year
SUBSCRIBE