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Joining the Trust step 2 (by mail)
Instructions to your bank or building society to pay Direct Debits

Please fill in the form below then print and sign it and mail it to:
Essex Wildlife Trust, Joan Elliot Visitor Centre, Abbotts Hall Farm,
Gt Wigborough, Colchester, Essex CO5 7RZ
Registered Charity No 210065 - Registered Company No 638666
Name & full postal address of your bank/building soc.
To the Manager
Bank/Building Soc.
Address (inc. Postcode)

Name of account holder(s)

Bank/Building Society account no.
Branch sort code

Banks and building societies may not accept Direct
Debit instructions for some types of account 		Originator's Identification No.
930942
Reference No. (office use only)
Instructions to your bank/building society
Please pay Essex Wildlife Trust Ltd Direct Debits from the account detailed in this instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this instruction may remain with Essex Wildlife Trust and, if so, details will be passed electronically to my bank/building society.
Signature(s)


 Date
Payment details (to be detached by Wildlife Trust before the Direct Debit instruction is sent to bank/building soc.)
Membership category:

I/we wish to pay £
(monthly minimum £3)		 Family membership covers up to four children at one address: please enter names here

Application to join the Essex Wildlife Trust

To: Essex Wildlife Trust, Joan Elliott Visitor Centre, Abbotts Hall Farm, Colchester, Essex CO5 7RZ
(Reg. Charity No. 210065)
I , of postcode
telephone email
pledge £ to Essex Wildlife Trust Ltd until further notice.

Gift Aid Declaration
I would like to Gift Aid all subscriptions and donations I make from this date of declaration, until I notify you otherwise. I would also like Essex Wildlife Trust to reclaim tax for the subscriptions and donations I have made in the 6 years prior to this date.
You must pay an amount of income tax or capital gains equal to the tax we reclaim on your donations.

Signature of donor Date

Thank you for supporting Essex Wildlife Trust with £ .
You will receive your membership pack in approximately three weeks; until then please contact the Membership Secretary on 01621 862960 with any queries.

Protecting Wildlife for the Future and for the People of Essex