Membership Application Form September-March – Manx Whale and Dolphin Watch

Friends of MWDW

Full name of Friend of MWDW

First name

Surname

Is the membership a gift? *

Name and email address of person gifting membership

How would you like to receive your members pack? *

Email address for correspondence *

If you have a Manx.net email address please provide us with an alternative email address if possible. Add info@mwdw.net to your contacts to stop newsletters going into spam.

Secondary email address

Phone Number *

To be used for the purpose of membership admin only

Address

City

State/Province

Zip/Postal

Country

Notes

Please indicate payment method *

Bank transfer

In Person

Do you permit MWDW to contact you in the following ways? (for the sole purpose of your membership) *

Phone

Post

This information is required under GDPR laws

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If you are human, leave this field blank.