Membership is very reasonable and is open to all those with a genuine interest in natural history. Please print the application below, fill in the appropriate blanks and return the completed Application Form to Michael Jupe:
ADDRESS
POST CODE
.
..
EMAIL
TEL (optional)
.
..
DATE . Date of birth (if under 18) ...
I/we hereby apply for membership of the Worcestershire Naturalists Club and enclose £ .. for my/our first years subscription, OR I confirm that I have sent the Standing Form Mandate to my/our bank (please delete whichever does not apply). (In view of our low membership rates, additional donations are very welcome!)
Annual Rates: Ordinary Members £8.00, Husband and Wife Joint Membership £12.00, Corporate Bodies £12.00, (Junior Members 10-18 years £1.00).
To:
..Bank (your bank)
Branch address:
.
.
Please pay National Westminster Bank plc (sort code 55-81-57) for the credit of
Worcestershire Naturalists Club (A/C no. 06469531) the sum of £
. commencing on 2 January 20
and thereafter every year until you receive further notice from me/us in writing, quoting
reference subscription, and debit my/our account accordingly. This
mandate cancels any previous order in favour of the beneficiary named above
under this reference.
Account to be debited: Mr/Mrs/Ms
Account no.: .. Sort Code:
Signed:
.. Date:
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