Wild Maidenhead Membership Form
Membership is open to anyone who lives, works or volunteers in Maidenhead, and its surrounding villages, and supports our aims to protect and enhance biodiversity. Please complete the form below and also make sure you have completed the payment process using a standing order
Sign in to Google to save your progress. Learn more
Title *
Name of adult member *
Please use a different form for additional adult members
Name of child(ren) (all names here)
Children can be junior members of Wild Maidenhead and this is free but please submit their names. Please note that children can't come unaccompanied to Wild Maidenhead events.
Name of company (for corporate membership)
Email address for contact *
Home address *
Home postcode *
Maidenhead address if different from above
Membership of Wild Maidenhead is open to supporters of wildlife who live, work or volunteer in Maidenhead and its surrounding villages from Knowl Hill in the west, to Cookham in the north, Maidenhead town in the east and Fifield in the south.
Maidenhead postcode (if different from above)
Phone number *
Type of membership *
How did you hear about Wild Maidenhead
I confirm that you can contact me with  information about events and activities by the following methods (we usually email) *
Thanks very much and we'll be in touch
If you would like to contact us in the meantime, please call 07710 171704
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy