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Your details
Name
(Required)
Title
Mr
Mrs
Miss
Ms
Dr
Prof
Forename(s)
Surname
Address
(Required)
Street Address
City
Postcode
Email
(Required)
Telephone no.
Mobile no.
(Required)
Emergency contact no.
Date of birth
(Required)
DD slash MM slash YYYY
Tell us a little about yourself and why you would like to join the Society.
Areas of interest
Birds
Fungi
Geology
Insects
Lichens
Mammals
Plants
Membership type
(Required)
Individual (£15)
Household (£20)
Under 30s (£5)
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Additional Household Members
As part of the Household membership you can add up to three other members.
First additional person's name
Title
Mr
Mrs
Miss
Ms
Dr
Prof
Forename(s)
Surname
Date of birth 1
of 1st person
DD slash MM slash YYYY
Second additional person's name
Title
Mr
Mrs
Miss
Ms
Dr
Prof
Forename(s)
Surname
Date of birth 2
of 2nd person
DD slash MM slash YYYY
Third additional person's name
Title
Mr
Mrs
Miss
Ms
Dr
Prof
Forename(s)
Surname
Date of birth 3
of 3rd person
DD slash MM slash YYYY
Payment
Membership fee (per year)
Would you like to Gift Aid your membership fee? Every £1 will be worth £1.25 to us at no extra cost to you
I consent to Gift Aid this membership payment to the ENHS. 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
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