Name:
Address:
Postcode:
Telephone:
Email:
Children's names if Family or Junior membership:

This subsription is from:

Name:
Address:
Postcode:
Telephone:
Email:

I enclose a cheque/PO made payable to Cornwall Wildlife Trust for £

Please charge the above sum to my Visa/Access/Mastercard (delete as appropriate)

Card number:

Expiry date: /

Signature:

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Gift Aid

If you are a tax payer the money you give can be worth even more thanks to Gift Aid.

I would like the Cornwall Wildlife Trust to reclaim the tax on any donations or membership subscriptions that I make. I have paid an amount of UK income tax or capital gains tax equal to any tax deducted.

Full name:
Date:
Signature:

Thank you