First Name:
Last Name:
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Day Time Telephone: 
Evening Telephone: 
email:        

I enclose a cheque for  £ (Membership costs £6 foe individual/family membership, £3 for concessions)
Plus a donation of  £Please make cheque payable to "H&F FOE"

II’d like to be on the group e-mail distribution list to be kept up-to-date about meetings and events     Yes   No

 I’d like to receive EarthMatters. (free for one year introductory offer) 
Yes   No

Please do not contact me about national campaigns or fundraising.       
Yes:       No: 

Please do not pass my details to other organisations       
Yes:       No: