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Direct debit membership application form.

Direct debit membership form: for UK bank account holders only.

Complete the form below,
print it out from your browser and post it to the address below.

Yes, I would like to become a member of The Natural History Museum for a year.
Title
First name
Last name
Email
Address
Postcode
Telephone

Additional adult at the same address (details for two adults and family memberships)
Title
First name
Last name

Family members under 17 (for family memberships).
Title
First name
Last name
Date of birth
Title
First name
Last name
Date of birth
Provide details of additional children on a separate sheet.

I/We wish to join as:

Adult - £60.00

Joint Adult - £78.00

Family - £83.00

Child - £38.00

Concession * - £46.00

Adult +1 child- £70.00

Adult +2 children - £73.00

*Student / Pensioners/ Unemployed / Registered disabled
Source:M2000webdd

In addition I would also like to make a donation of: £
Total payment £

We may arrange for members to receive information on products and services we think may be of interest to them. If you do NOT wish to receive these offers, please tick the box.

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the form. Next, fill out the direct debit mandate.

Membership - A natural partnership