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Membership application

 

Please complete this on-line membership application form.  (All fields are required)

Title: Mr. Mrs. Ms. Miss
Surname:
First name(s):
Address:
Post Code:
Telephone:
Email:
Date of Birth:
Please select your type of membership: Family Membership Annual Membership
Single Membership
Senior Citizen
Weekdays Only
Please select your interests: Gardening
Children's Activities
Theatre Music
Flower Shows
Leisure Learning
Perennials
Retail Offers
Volunteering
Which publications would you like to receive by email? News Flashes
What's On
Activities
To protect the environment would you receive your newsletter by email? Yes
No
How many children/grandchildren might be interested in children's activities? 0-5
6-10
11-15
How did you learn about the Birmingham Botanical Gardens? Family /Friends
School Visit
Corporate / Wedding Guest
Existing Member
Tourist information
Website
Media
Date:
I was recommended by a Birmingham Botanical Gardens Member. Their Number is:
This membership is being purchased as a gift for (Name & Address):
Please post membership to: My address Gift address
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Please note that any information which you provide about yourself will be treated as confidential.

Membership data is stored in accordance with the Data Protection Act 1998.

 

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