The Anglian Wolf Society: Membership application form

APPLICATION TO JOIN THE ANGLIAN WOLF SOCIETY

Please fill in this form then print it out and send it by post, with your cheque (made payable to The Anglian Wolf Society) to the address given below

Your details


	Full or associate membership ?	Housename
Surname		No & Street
Forename		Village
Birthdate		Town
Tel.		County
e-mail		Postcode

If you are buying this membership for someone else then enter their details here
Surname		Housename
Forename		No & Street
Birthdate		Village
Date to postpone until (Eg. Birthday):		Town
Tel.		County
e-mail		Postcode

Amount due
I wish to make a donation of
Total amount enclosed

Please return this whole page to The membership secretary, The Anglian Wolf Society, PO Box 1273, Wootton. Bedford MK43 9WU. A receipt will be posted to you as soon as possible (please allow 28 days). Except where otherwise stated, your membership will run from the day upon which we receive your application until the end of the same month in the next year. A renewal reminder will be sent to you between two and four weeks before your membership expires.

Please fill in the section below to pay for your membership by standing order. Alternatively, make cheques payable to "The Anglian Wolf Society" and send with this page.

Banker's Order To: The Manager (Name and address of your branch)
Please pay to The Anglian Wolf Society Ltd. £now and on the same day each year.
Account No. 82890862, 60-12-45 National Westminster Bank. Bedford Road, Kempston, Bedford MK42 8DB
(Fill in your account details below)
Account holder's name:		Sort code:
Signed:............................................................................................		Account No.:
(Don't forget to SIGN)