The Cat Survival Trust

Membership Application

Please enter your name:Mr., Mrs., Miss, Ms.
Your postal address: 
Post town: 
County or state: 
Postcode: 
E-mail address: 
Telephone number: 
Fax number: 

Which class of membership? (Please tick)
Junior(£4 UK, £8 overseas) 
Unwaged(£4 UK, £8 overseas) 
Senior(£4 UK, £8 overseas) 
Ordinary(£7 UK, £11 overseas) 
Family(£12 UK, £16 overseas) 
Friend(£50 UK, £54 overseas) 
Life(£200 UK, £325 overseas) 
Senior Life(£100) 

If your subscription is less than £10, please add £2 registration fee
If you chose junior membership, please enter your date of birth:  .................................
If you wish to pay by means of your Credit or Payment card, please complete the following:
Card issuer
(please tick)
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We are sorry that other cards
cannot be accepted.
Payment details
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Expiry date: 
Amount of payment £
Signature 

Last amended 4th February, 2001