PhoneBack Application Form to Join Ref:web.2

Phone Back Application Form to Join
The Vegetarian Society of the UK

If you are in the United Kingdom - and near a phone during office hours - you can send your order using the form below. We will then phone you to collect your credit/debit card details. (Please state if the membership is for a gift)

You can also join online (secure payment by credit/debit card)

You can send the form at any time, we will call back as soon as possible during office hours.

Title (Mr/Ms etc): Your name:

Address:

Postcode:

e-mail address:

Daytime phone number (UK office hours only):

Date of birth:

I am vegan

I am vegetarian. I never eat meat, poultry or fish

I am not currently a vegetarian ( will be enrolled as an associate member)

Please tick if you do not wish to recieve information about:
the Vegetarian Society's range of services
information from other carefully selected charities
special offers from vegetarian-friendly companies

Membership Category (click one)

Adult Membership
Full - £21annually
Student / Unwaged / Senior Citizen - £16 annually

Life Membership
£300
Senior Citizen only £180

Junior Membership £10 annually
Twiggy Club - age 10 and under
Team Veggie - age 11 - 16

Family Membership (Please advise names and dates of birth of all family members below)
£26 annually

Names for Family Membership	Date of Birth

I would like to make a donation to help the Society's valuable campaign work
£5 £12 £25 £50 Other

Any further comments before we phone you:

Many thanks for your support

The Vegetarian Society of the United Kingdom
Registered Office: Parkdale, Dunham Road, Altrincham, Cheshire, England WA14 4QG

Registered Charity no. 259358 Registered company no. 959115