Durham Bird Club Membership Form

Name: ................................................................

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

............................................................................

............................................................................

Post Code:  ............................... 

Tel. No. .......................................

Email address: ……………………………………………..

Subscription Rates
Ordinary/Family	£20
Concessions	£15
Junior	£5

Date of birth if Junior Member  ....../...../.........

I enclose Cheque/P.O./Cash for £ .........

or I wish to pay by Standing Order ..............

(a form will be sent to you)

Signed: ....................................................

Date: ..........................

This form, together with the appropriate subscription, should be sent to:   

Sandra Judd,

Membership Secretary,

22 Melrose Crescent

Seaham

Co. Durham

SR7 0LD

Please make cheques payable to ‘Durham Bird Club’

How did you hear about the Durham Bird Club?