Rabbit Welfare Association & Fund

Pay by post form

Please type your details then print this page and post to RWAF, PO Box 603, Horsham, West Sussex RH13 5WL

Office use only:
Date of joining:-----------------------------------------------Membership Number:

Application for New Membership

Surname Title

Initial/First name

Address

County:

Postcode: Tel. No.

Daytime Tel.No (if different)

Email:

I would like to apply for membership of the RWA.
I agree to be bound by the Rules & Constitution of the organisation.
I understand that my membership details will be held on computer.

Signed ..................................................................................................

Date

Annual Subscription (please tick)-
	-Adult -	£17.50
	-Treat Your Vet	£20.00
	vSenior Citizen-	£15.50
	-Overseas--	£27.50
	Family membership	£22.50
	Veterinary Practices (this category includes a selection of our leaflets, and discounts on further leaflets)	£37.50
Please help us to help other bunnies by making an optional donation to the Rabbit Welfare Fund

Please tell us how you discovered the Rabbit Welfare Association & Fund

Use this box to state further information

If you found out about us from an RWAF publication - please tell us where you found it

Use this box to state further information

Please note:

Cheques should be made payable to the Rabbit Welfare Association
Your details will be held on a computer
If you don't want your name and address circulated to other
RWA members/other organisations, tick this box
please note that you will not be eligible for the free gift if this box is ticked

Please charge my:
Mastercard Visa Delta Switch Solo JCB

Card No Issue No (Switch)
Expiry Date

Cardholder's name

Cardholder's signature------------------------------------------------------------------------

Or pay by direct debit

To the Manager (please insert the name and address of your bank or Building Society):

Bank name

Branch

Address:

Postcode:

Please debit my account

Account number:

Sort code: - -

Please pay the sum of £ annually

on the (start date)

Signed:

Date:

The British Houserabbit Association
Barclays Bank,
Horsham Business Centre
2 Carfax Horsham
West Sussex
RH12 1DN

Sort code: 20 42 58 Account Number: 4093851302

To paying bank - plese quote reference:

Membership number:

GIFT AID DECLARATION

Title: First name:

Surname:

Address:

Post code:

I wish the Rabbit Welfare Fund to reclaim the tax paid on any donations I make on or after 6 April 2002 and to treat them as a Gift Aid Donation. i confirm that I am a UK tax payer and pay an amount of income tax at least equal to the amount. The RWF will reclaim in the tax year.

Signature....................................................................

Date:

Please let us know if you change your address or if you no longer pay income tax.

Print this page and post, together with your cheque to:
RWAF, PO Box 603, Horsham, West Sussex RH13 5WL.