Application for Membership - HART
Please print out this blank form, complete the relevant details and send to us with your cheque.

Membership is £5.00 for a household per year


Name/s:    ..............................................................................................    
 
Address:    .............................................................................................
 
                  .............................................................................................
 
                  .............................................................................................
 
Postcode:   ....................................            
 
Telephone:  ....................................
 
Email:         ......................................................................
 
Please enrol me/us as members of HART.
 
I/we enclose a cheque for £ ..................... made out to Herefordshire Amphibian and Reptile Team
 
Signed:       ..............................................................................................
 
Date:          .........................................
 
Your application will be processed as quickly as possible. Thank you for helping us.
 
Please post completed form and cheque to:
     
Herefordshire Amphibian and Reptile Team    
c/o Woodlea    
Little Dewchurch    
Hereford    
HR2 6PS