UKWCT 2018 Subscription Form |
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Name: | _________________________________________________________ | |
Address: | _________________________________________________________ | |
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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. |
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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. |
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Card type: | _________________________________________________________ | |
Card number: | _________________________________________________________ | |
Issue number (if applicable): | _________________________________________________________ | |
Security number (on back of card): | _________________________________________________________ | |
Start date (if applicable): | _________________________________________________________ | |
Expiry date: | _________________________________________________________ | |
Name on card: | _________________________________________________________ | |
Signature: | _________________________________________________________ | |
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