PLEASE COMPLETE AND RETURN TO OR BY POST TO

The Mammal Society MEMBERSHIPS, Springboard Centre, Mantle Lane Coalville LE67 3DW

Member INFORMATION- the mammal society
Applicant Information – Membership #
Member (s) Full Name:
Organisation:
Email:
Mobile: / Home Tel: / Work Tel:
Current address – if changes need to be made
City: / County: / Post Code:
Is this a Gift membership / Yes: / No:
Payee information (if different from applicant)
Payee Contact:
Organisation:
Email:
Address:
City: / County: / Post Code:
Mobile: / Home Tel: / Work Tel:
membership options
Please tick the appropriate membership
Individual Adult £30 / Joint Adult £36 / Concession £18 / Joint Concession £24
Overseas Adult £36 / Overseas Concession £30 / Affiliate / Group £36 / Life £600
Student £18 / Graduate £18
If a Student please state expected end date for studies
If a Graduate please state expected end date for studies
How would you like to receive Mammal News / Paper Copy / PDF Copy
ADDition cost - subscribe to our online scientific journal mammal review subscription (optional)
Annual Subscription £30 / Monthly Subscription £2.50
Paper copies only available for previous subscribers £24 / Monthly Subscription £2.00
join your local group (included in membership)
Berkshire / Oxfordshire / Shropshire
Lancashire & Manchester / Herefordshire / Dorset
payment details – please select your preferred method of payment
I wish to pay – enter total amount / Monthly / £ / Annually / £
I would like to add a donation / Monthly / £ / Annually / £
Debit Card – please call the office to pay / Online / Cheque
Monthly payments require a debit order or standing order – please tick your choice / Debit Order – an email will be sent from GOCardless for you to accept & setup / Standing Order
gift aid – very important please complete
I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for the current tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities and Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for the current tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 25p of tax on every £1 that I have given. Please treat all payments made after this date eligible for Gift Aid until I notify you otherwise
Please Gift Aid my current membership (and donation)Tick if YES
Yes Please claim for the past 4 yearsTick if YES / No Sorry I am not eligible for Gift AidTick if NO
Name / Signature
Date