UKWCT 2017 Subscription Form

Name: _________________________________________________________
Address: _________________________________________________________
  _________________________________________________________
Postcode: ___________________Home Tel: ____________________________
Email: _________________________________________________________
Where did you hear about us? _________________________________________________________
Gift From: ____________________________Date Gift Required: ___________
Address: _________________________________________________________
  _________________________________________________________
Postcode: _______________________Home Tel: ____________________________
Email: _________________________________________________________

If this is a gift for someone else, please put their details on the form; put your name and address in the "Gift From" section where the gift will be sent initially. In this way the person who the gift is for will have their details on our database to receive newsletters etc. throughout the year, but we will send it to you to give to them on the right day.

1. WolfPrint Magazine
Triannual 30 page glossy magazine focusing on the bigger picture (included with walking membership)
Non-members @ 14-00 UK, Postage Europe+5, Rest of World+12 ________________
2. Wolf Adoptions 40-00 per Wolf per annum, including Wolf Print magazine ________________
Name(s) of adopted wolves: ________________________________________________
3. Optional Donation ________________
Grand Total ________________
We can accept payment by cheque or postal order (made payable to "UK Wolf Conservation Trust"), credit card or standing order.
Card type: _________________________________________________________
Card number: _________________________________________________________
Issue number (if applicable): _________________________________________________________
Security number (on back of card): _________________________________________________________
Start date (if applicable): _________________________________________________________
Expiry date: _________________________________________________________
Name on card: _________________________________________________________
Signature: _________________________________________________________
Office Use Only: Date Rec:________________Date Sent:_________________Memb #__________________    ukwct_subscription_form v1.8
Please note that your details will be held on a computer database. This information will be used for membership contact purposes only.
A company limited by guarantee. Registered in England and Wales - Company No. 3686061
Cannot be used for one-off payments
Bankers Order
Ref: The UK Wolf Conservation Trust

To the Manager (Name & Address of Bank)___________________________________
_____________________________________________________________________
Please pay The UK Wolf Conservation Trust . 
Bank: National Westminster Bank Plc
Branch: Market Place, Newbury
Sort Code: 60-15-07
Account No: 62012754
15 [    ]   25 [    ]   40 [    ]   50 [    ]   100 [    ]   ..............[    ]
 
Now and on _______________________________ annually
   
Account Holders Name..................................................................................................................
    
Sort Code...............-................-.................   Account No. ............................................................
  
Signed.........................................................................................................................................
I wish The UK Wolf Conservation Trust to treat this and all subsequent payments I make as Gift Aid donations
Please post the completed form to: UK Wolf Centre, Butlers Farm, Beenham, Reading, Berks. RG7 5NT UK