EFG Membership Application Form

Exmoor Fungus Group Membership Application

To apply for membership please complete all questions.
To ensure compliance with the Data Protection Act your information will only be used to facilitate the requirements and effective management of the Exmoor Fungus Group (EFG). Access to your data will only be given to EFG members who have an identified need for EFG purposes only.
Completion and submission of this application form indicates your acceptance of this advice, and to the use of your information as outlined.
Membership type*

Individual (£8.00)Household (£12.00)
Name*

First NameLast Name
Other name(s): If applying for household membership
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postcode
E-mail*
Mobile number*
Emergency contact name*

First NameLast Name
Emergency contact mobile number*
I/we would like my name/our names being attached as collector / identifier to any record made on an EFG Walk as appropriate. I/we understand that once uploaded to the online Fungal Records Database of Britain and Ireland such records will be in the public domain.*

Yes pleaseNo thank you
I would like to join the EFG members WhatsApp group.*

Yes pleaseNo thank you
I/we are happy for photos to be taken during group gatherings. Any images intended for publicity will be shared with you first for approval before being published*

Yes, agreeNo, please do not include me in any group or individual photos.
Chosen payment method?*

Bank transfer (BACS)Cheque
Bank and address details can be found at www.exmoorfungusgroup.co.uk/membership

Please send payment once this form has been completed.
Signature*

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Exmoor Fungus Group Membership Application