I wish to become a member of / renew my subscription to the group: -

I enclose annual subscription of £……………

Rates are Family £5.50 - Ordinary £4.25 - Senior Citizen - £3.75

Full Name             ……………………………………………………………………..

Street / Road        ……………………………………………………………………..

Town / City           …………………………………………………………………….

Post Code            …………………………………………………………………….

RSPB Membership No’ …………………………………………………………….

Telephone no.      …………………………………………………………………….

Would you like to receive the group newsletter and other information/news via email              Yes I        I            No I      I

If yes to the above please indicate which format   txt        I html         I doc         I pdf         I

E-mail Address………………………………………………………………………

Cheques to be made payable to The Liverpool RSPB Members A/C

 Data Protection                                       

The RSPB Liverpool Local Group would like to keep your details to send you further information about group activities and the work of the RSPB. If you want to amend or update your details or you do not want us to use them in the way stated, please contact me at the below address.

David Hardy,  806A Queens Drive ,  Liverpool ,  L13 4BT .

                                Regd charity no 207076