Please print out this form and post with your membership fee  to

Alastair Greig    Scottish Badgers Membership Secretary 

 42 St Mary's Street,    Edinburgh     EH1 1SX

Name.................................................................................................................

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

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

................................................................. Post Code .....................................

Tel No .............................................................................................................

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

I enclose the membership fee      (Please tick the amount)

Individual £13  Household £18   Corporate £60

I enclose a donation of.....................................................................................

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Standing Order to:   The Manager

1.   Name and full postal address of your bank

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

.......................................................................  Post Code.............................

2. Name of account holder(s)

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3.   Bank/Building Society account number

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4.   Sort Code

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5.   Instructions to your Bank or Building Society

Please pay Bank of Scotland, 8, Morningside Road, Edinburgh EH10 4DD sorting code 80 02 85 acc. no. 00784159 the sum of £...................... commencing this date and thereafter on the 1st November each year until further notice.

Signature....................................................  

Date............................................................

 

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