Application for Membership of the Shropshire Ornithological Society

Registered Charity No: 514487

Adult (1) / Junior    (BLOCK CAPITALS PLEASE)

Title: Mr/Mrs/Miss    Surname:____________________________________________

Forename(s) __________________________________________________________

Adult (2) (Joint Membership only - see subscription rates)

Title: Mr/Mrs/Miss    Surname:____________________________________________

Forename(s) __________________________________________________________

Full address __________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

Post Code: _______________    Telephone No: _____________________________

Email address: ________________________________________

Date of Birth (if under 17):_______________________________

I/We hereby apply for membership of the Society. I/We agree if elected, to abide by the Society's Rules and Objects and enclose cash/cheque/bankers order for £______________ being my/our subscription for the year.

Signed: __________________________________________

Date: ______________________

Send your application form (together with your Gift Aid Declaration and Bankers' Order if applicable) to The Treasurer, Shropshire Ornithological Society, 

Cherries, 6 Sytche Close, Much Wenlock, Shropshire, TF13 6JJ

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