Membership Form
Please fill out the form below to become a member / renew membership
The bat group will not share your details with any other individual or organisation. Please note annual membership is £10.
Members Detials
Mr.
Mrs.
Ms.
Dr.
Prefix
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
example@example.com
Contact Number
-
Area Code
Phone Number
Occupation
Are you a member of BCT
Please Select
Yes
No
Do you agree to your contact details being held on the Dumfries and Galloway database? (held on secretary’s home computer).
Please Select
Yes
No
Are you willing to share your contact details (name, address, telephone number and email address) with other members of Dumfries and Galloway Bat Group?
Please Select
Yes - all details
Yes - name and email address only
No
Do you agree to your photograph appearing in promotion material with regards to the bat group?
Please Select
Yes
No
Submit
Should be Empty: