The Wildlife Trusts Logo The Wildlife Trusts

1/2 Membership throughout January!

Membership

Details

Review

Pay

As a member you will be helping to secure the future of precious wildlife, habitats and landscapes in Derbyshire, so that you and your family can enjoy them for many years to come.  With your support we can also inspire thousands of children every year, giving them wildlife experiences that will last a lifetime.

If you would like to renew an existing membership please click here or if you would like to notify us of a change of address please complete this form.

Individual Membership 1/2 price

from £1.25 per month

Individual Membership

Join Today

Joint Membership 1/2 price

from £1.50 per month

Joint Membership For Two

Join Today

Family Membership 1/2 price

from £1.75 per month

Family Membership With Extras For Kids

Join Today


If you can see this section, leave fields blank

This is for me

This is a gift


Gift Details

Gift Membership Details * indicates required field

Who is it for?


Primary member details


Membership Address


Additional Members


Joint Members




Child Members







Make your gift worth more for wildlife

Gift Aid Logo

If you are a UK taxpayer, the value of your gift can be increased by 25% under the Gift Aid scheme at no extra cost to you. This means your donation of £4 could be worth an extra £1.00 to us.

By agreeing to the Gift Aid statement below we can reclaim the tax paid on the donations you make to us. This means for every £1 you give the Government will give us an additional 25p to help wildlife. To be eligible for Gift Aid the amount of Income Tax and/or Capital Gains Tax you pay in each tax year, must be at least equal to the amount of tax that all charities and CASCs will reclaim on your gifts for that tax year.


Contact Preferences

From time to time Derbyshire Wildlife Trust will contact you to let you know how your support is helping local wildlife, other ways to get involved and other ways in which you can help. If you do not wish to be contacted in future please email membership@derbyshirewt.co.uk


I am happy to be contacted by Derbyshire Wildlife Trust about conservation, membership, fundraising and other activities by:

You can change your contact preferences at any time by contacting Derbyshire Wildlife Trust at enquiries@derbyshirewt.co.uk or by calling 01773 881188 or by writing to Main Street, Middleton by Wirksworth Derbyshire DE4 4LR


Review your membership options


Membership Type

Type of membership:
Who is it for?

Gift Details

Send the Gift Pack:
Membership start date:
Gift Messaage:

Membership Details

Title:
First name:
Surname:
Date of Birth:
Email:
Preferred phone number:
Alternative phone number:
Gift Aid declaration:
Contact Preferences:
Post:
Email:
Telephone:

Membership Address

Address:
 
 
Town / City
County:
Postcode:

Additional Adult

Title:
First name:
Surname:
Date of Birth:
Relationship to primary member:
   
Title:
First name:
Surname:
Date of Birth:
Relationship to primary member:
   
Title:
First name:
Surname:
Date of Birth:
Relationship to primary member:
   

Additional Children

Title:
First name:
Surname:
Date of Birth:
   
Title:
First name:
Surname:
Date of Birth:
   
Title:
First name:
Surname:
Date of Birth:
   
Title:
First name:
Surname:
Date of Birth:
   
Title:
First name:
Surname:
Date of Birth:
   
Title:
First name:
Surname:
Date of Birth:
   

Payment Options


Pay by Direct Debit

Pay by Credit Card

Monthly

Annually


The Direct Debit Guarantee

  • This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits.
  • If there are any changes to the amount, date or frequency of your Direct Debits Derbyshire Wildlife Trust will notify you 10 working days in advance of your account being debited or as otherwise agreed. If you request Derbyshire Wildlife Trust to collect a payment, confirmation of the amount and date will be given to you at the time of the request.
  • If an error is made in the payment of your Direct Debit, by Derbyshire Wildlife Trust or your bank or building society, you are entitled to a full and immediate refund of the amount paid from your bank or building society.
  • If you receive a refund you are not entitled to, you must pay it back when Derbyshire Wildlife Trust asks you to.
  • You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.
Direct Debit Logo

Payment Contact Details


Billing Address


Donation details


Bank details

Notice: If you are not the account holder or more than one person is required to authorise debits on this account unfortunately we are unable to accept your direct debit instruction online. If this is the case then please call us on 01773 881188 for alternative payment methods

Confirm Details

Credit Card

Error:
Accepted credit card logos

Confirm Direct Debit Details

Thank you for choosing to pay by Direct Debit. Payments will appear as Derbyshire WT and we will send confirmation of the Direct Debit setup by post/email within 3 working days or no later than 10 working days before the first collection.

Direct Debit Logo

Derbyshire Wildlife Trust

Derbyshire Wildlife Trust, Main Street, Middleton by Wirksworth Derbyshire DE4 4LR

Instruction to your Bank or Building Society to pay by Direct Debit

Name(s) of Account Holder(s)

Bank/Building Society Account Number

Branch Sort Code

Name and full postal address of your Bank or Building Society

To: The Manager:

Address:

Postcode:

Service User Number

752598

Reference Number

            


Instruction to your Bank or Building Society

Please pay Derbyshire Wildlife Trust 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 Derbyshire Wildlife Trust and, if so, details will be passed electronically to my Bank/Building Society

Date

22/01/2020

Banks and Building Societies may not accept Direct Debit Instructions for some types of account

Edit

Print

Complete Payment and Join Derbyshire Wildlife Trust