Please print and complete:

I would like to become a member of the Bumblebee Conservation Trust

Surname......................................................................................

First names..................................................................................

Address.......................................................................................

......................................................................................................

.................................................Postcode................................

Email...........................................................................................

Telephone...................................................... Date....................

Please complete the standing order mandate below or attach a cheque

Post this form to: Bumblebee Conservation Trust, School of Biological and Environmental Sciences, University of Stirling, Stirling,

We will process your membership and then forward the standing order mandate to your bank.

Please help us further by completing the following GIFT AID declaration

"I want the charity to treat all donations that I make from the date of this declaration until I notify you otherwise as Gift Aid donations"

Signature ...............................................                                      Date ...................................
N.B. You must pay an amount of Income Tax and/or Capital Gains Tax at least equal to the tax that the charity reclaims on your donations in the appropriate tax year (currently 28p for each £1 you give).
_______________________________________________________________________

STANDING ORDER MANDATE

To:..................................................................... Bank         Sort Code:..................................
 

Bank Postal Address:.....................................................................................................................
 

............................................................................................       Postcode:..........................

Please pay the under noted standing order to:
Bank of Scotland    

73 Henderson Street

Bridge of Allan

Stirling

FK9 4HG

Account name: BUMBLEBEE CONSERVATION TRUST

Account number: 06000591 Sortcode: 80-05-81

Please pay the following (delete as appropriate):

Standard membership:                   £16     In words: Sixteen pounds

*OAP/Student/BWARS members: £12     In words: Twelve pounds   - (*Please delete as appropriate)

Children's membership:                 £9       In words: Nine pounds

Fellow membership:                       £50     In words: Fifty pounds

Joint membership:                          £20     In words: Twenty pounds

Family membership:                      £25      In words: Twenty-five pounds

Overseas membership:                 £26      In words: Twenty-six pounds

Life membership:                            £500   In words: Five-hundred pounds                       

Commencing ........./........./.................  (first payment) & thereafter annually

To be debited from my account:
 

Account number:......................................     Name(s):.........................................................

Signature................................................................                      Date ......../......../..............