The Berwick Swan and Wildlife Trust
 

I/we wish to join the Trust

Name(s) (Please print)

Address

Postcode                                                          Telephone

Status                                      Subscription Rates                 Number

Adult                                            £6.50

Under 18                                       £3.50

Senior Citizen                                £3.50

UB40                                            £3.50

Family                                          £9.50

25 yr. Membership                         £75.00

Commercial                                  £100.00

Non Commercial Organization         £30.00

                                                         Donation          £

                       I/we enclose a total remittance of          £

(Cheques payable to Berwick Swan and Wildlife Trust. Please do not mail cash)

Signature(s)

 (Plus signature of parent/guardian if under 18)

Membership cards are issued as a receipt and donations will be acknowledged

Please send completed form to :-

Derek Roughton, Treasurer BSWT, Yew Tree Cottage, Branton, Alnwick, NE66 4LW