Church Field Nature Reserve Friends sign up

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

(All responses will be kept confidential)

First Name *

Your surname *

Your email address *

I would like to become a Friend of the Church Field Nature Reserve *

Yes

Required

I would like my membership to include the following named members of my household (your membership can include two adults and any children under 18 who are in the same household):

How much will you contribute annually? (Please tell us what contribution you can make – minimum £20, but please give more if you can.) *

How will you pay your contribution to the reserve?
*

If you are happy to do a regular annual standing order to be paid sometime in every March we would really appreciate it as it saves time for us and for you when it's time to renew and allows us to plan ahead knowing we can rely on a more certain level of finance each year.

By online annual standing order (preferred). See details below

By online single payment for this year

By cash or cheque payable to Church Field Nature Reserve which I will get to you directly

Bank details for use in setting up standing orders or single payments

Account name: Church Field Nature Reserve
Sort-Code: 23-05-80
Account No: 55637067
Account type: Business
Reference: Your surname.

If you would like to be able to go into the Church Field Reserve freely when it is not closed (eg when it is being grazed, or for health and safety reasons) please confirm that you have read and understood the Church Field Code of Conduct and that you and any accompanying family members will comply with it

I confirm

I do not need access to the Reserve

Once filled in just press SUBMIT.

When your form is submitted it will disappear and you will just get a green background, but you are all done and if you scroll back to the top you will see a confirmation message. When we receive your donation we will confirm your membership and send you the key code for access.

Submit

Clear form

Never submit passwords through Google Forms.

Forms

This content is neither created nor endorsed by Google.