500 Club Application Form

500 Club Application Form

500 Club members pay £24 per year (or £12 for 6 months) to be entered into a monthly draw for prizes of 1st - £100, 2nd - £50 and 3rd - £25,* with a special, 5-prize draw each December. *The prize amount depends on the number of paid-up members each month. The draw takes place on the first Saturday of each month and the results are posted on our website.
RenewalNew Member
Your 500 Club Number if renewing (if known).
Title*
Name*

First NameLast Name
Address*

State / Province

Postcode
Phone Number*
Email*
example@example.com
Our preferred way of sending notifications as it saves our vital resources. Please ensure that our email addresses members@valewildlife.org.uk and info@valewildlife.org.uk are added to your safe senders list.
YesNo

500 Club*

500 Club 12 Months

12 Months 500 Club Subscription from just £24 minimum.

GBP for each year

500 Club 6 Months

6 Months 500 Club Subscription from just £12 minimum.

GBP for each six months

If you are happy to pay more than the subscription cost, please enter the total amount you'd like to pay below:
Please send me details about making regular donations to Vale.Please help to secure Vale's future. I would like details about leaving a Legacy to Vale Wildlife HospitalPlease send me details about becoming a Member.Please send me details of Vale's Adoption scheme (these make lovely gifts).
Should be Empty: