If you have ordered gift membership please complete the receiver’s... If you have not, please go straight to payment details.*

How to order
Order by 12 December to ensure your gift arrives
in time for Christmas!
•
•
•
Orde
£30 wil rs over
l be en
ter
into a
free pr ed
draw t
ize
o win
a copy
Chris P
of
Back G ackham’s
arden
Natu
Reserv
e wort re
h
£12.99
!
Telephone 01954 713543 (Monday to Friday 9am-5pm)
Visit www.wildlifebcn.org
Complete the order form and return to:
The Wildlife Trust, FREEPOST ANG10646, Cambridge CB23 6BR
If you have ordered gift membership please complete the receiver’s information below.
If you have not, please go straight to payment details.*
Adult gift member/Wildlife Guardian details
TitleForename
Surname
DOB
TitleForename
Surname
DOB
TelephoneEmail
Address
Post code
Children 16 and under (for Family or Watch only membership)
Name
DOBName
DOB
Name
DOBName
DOB
Send the welcome pack to:
The payer Gift member by: / /
Send subsequent magazines to: The payer
Gift member
Please select your free concise guide: Mushroom Tree
Butterfly & Moth Bird
Wildflower
Insect
Garden Wildlife
Pond
Order Form
Product code Item description Price Qty Total
£
£
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Direct Debit details
To pay for your gift membership by Direct Debit, please complete the following information:
Bank/Building Society:
Address: Post Code
Name of Account Holder:
Bank/Building Society Account Number: Branch Sort code
Instructions to your Bank or Building Society to pay by Direct Debit
Please pay the Wildlife Trust Direct Debits from the account detailed in this instruction subject to
the safeguards assured by the Direct Debit Guarantee. I understand that this instruction may remain
with the Wildlife Trust and if so, details will be passed electronically to my Bank/Building Society.
Signature:
*Free postage if purchasing a Dormouse House only
Add
Postage £2.50
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Donation £
Total
Your details
£
Date:
Banks & Building Societies may not accept Direct Debit Instructions for some types of accounts.
* Payment details
Cheque (made payable to the Wildlife Trust)
Credit / Debit card (please complete your details below)
Name on card: Card no:
Title Forname
Surname
Address
Signature:
Start Date:
Postcode
Telephone
Email
If you are not already a member of the Wildlife Trust please read on. Your personal details will only be used by the
Wildlife Trust and will not be passed on to any third party. We would like to send you information about our conservation
work, events, activities and fundraising. If you would prefer us not to use your details in this way, please tick here
Expiry Date:
Issue No. (Switch & Maestro only)
Gift Aid
I am a UK taxpayer and I would like all donations made to The Wildlife Trust in the last four years and in
future to be treated as Gift Aid donations.
I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year that is
at least equal to the amount of tax that all the charities or Community Amateur Sports Clubs that I donate to
will reclaim on my gifts for that tax year (other taxes such as VAT and Council Tax do not qualify).
I understand the Wildlife Trust will reclaim 25p of tax on every £1 that I give.
Name of Tax Payer: Your financial support could be used for Contributing Third Party (CTP) purposes through the Landfill Communities
Fund (LCF). This enables us to turn every £1 that you give us for nature conservation, into £10.
Please return your completed form with payment to:
The Wildlife Trust, Freepost ANG10646, Cambridge CB23 6BR
Date: