Membership Gift Box Registration Form

credit Sarah Lambert

Activating your Membership Gift Box

To be able to make the most of your Membership Gift Box, activate your membership within six months of the date that it was purchased. Please refer to the gift receipt for that date.

Please note the below form is for recipients of our Membership Gift Box only. If you have any questions or would like to find out more please email membership@wildlifebcn.org

Members details

First Name

Last Name

Address Line 1

Address Line 2

Postcode

Parent/Guardian Authorisation

I am the parent/guardian of the above named child. I am happy for the Wildlife Trust BCN to send the welcome pack and children’s membership magazine to them at the address above.

Telephone

Details of parent/guardian

Title

First Name

Last Name

Address Line 1

Address Line 2

Postcode

Telephone_parent

Email_parent

Unique Reference Number

Please enter the receipt number from the bottom of your gift receipt, found underneath the barcode.

Make a Donation to the Wildlife Trust

I would like to make the following donation to help protect local wildlife:

£10

£20

£50

£100

My Choice of £

Card number

Start date

(MM/YY)

End date

(MM/YY)

Issue no.

(if applicable)

Payment details for automatic renewal

Payments are by direct debit only, for more information please contact our Membership Team on membership@wildlifebcn.org

Name

Bank Address

Bank Postcode

Account Number

Sort Code

Date

Do one more thing for wildlife

Are you a UK taxpayer? If so, every £1 you give could be worth £1.25 to wildlife – at no cost to you. Simply complete your details below. Gift Aid will help to fund all the Trust's vital work for local wildlife.

Gift Aid is reclaimed by the Wildlife Trust from the tax you pay for the current tax year. In order to Gift Aid your donations, or future membership, you must tick the box below. Please note that Gift Aid can NOT be claimed on Gift Memberships.

I want to Gift Aid my donation made today and any donations I make in the future or have made in the past 4 years to The Wildlife Trust for Bedfordshire, Cambridgeshire and Northamptonshire. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference.

Yes, I want to add Gift Aid

Name of Tax Payer

Date

We will use the information supplied here solely to register your membership with the Wildlife Trust BCN.

To find out more about how we manage your data please see our privacy policy: www.wildlifebcn.org/privacy.

Membership Gift Box Registration Form

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