This form is for you to print and complete - it is NOT for submission via the Internet. 

LNHS: APPLICATION FOR CORPORATE MEMBERSHIP


Corporate Membership is £20 per calendar year and falls due for renewal on 1 January.
It is available to organisations such as companies, local authorities, and colleges.

Please print this page, and fill it in using block capitals.

Post it to : Robin Blades, 32 Ashfield Road, London, N14 7JY

Enclose a cheque payable to : London Natural History Society.



Name of company or organisation:..............................................................................

Individual to whom correspondence should be addressed :



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Address: ........................................................................................................



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Postcode: ........................ Tel: ........................................................................


Email: ........................................................................................................



I enclose payment of: ......................

To request a standing order form please write to the address above enclosing an SAE.


In which London Borough are you situated? .................................................................
If you are outside the Greater London area please state town or county.

 


Signed....................................................................................... Date.........................

 

Position in organisation:...........................................................................................

Data Protection Act 1998: This information collected on this form is confidential and will not be released to any third party. LNHS is a Registered Charity No. 206228