Mid Derbyshire Badger Group - Membership Form 2024
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Surname. *
First name. *
Address, including postcode. *
Mobile and/or landline phone numbers. *
Email address. *
Membership choice. *
Required
Donation amount (if applicable). *
PREFERRED PAYMENT METHOD

Once you have selected your chosen payment method, please make a note of the details given here, especially if paying by online banking.
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If paying by STANDING ORDER, please set this up with your bank via online banking.
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To pay by ONLINE BANKING, please use these details:
MID DERBYSHIRE BADGER GROUP
Sort Code: 30-99-50
Account Number: 62292260
Please state your name as the payment reference.  We bank with Lloyds.
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To pay by CHEQUE, we are now charged a fee by the bank to pay in a cheque, so we would be grateful if you could add 50p to your membership fee please.  Cheques should be made payable to 'Mid Derbyshire Badger Group'. Please Email us at: midderbyshirebadgergroup@gmail.com and we will supply details of our postal address.
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To pay by CASH, please do this via a Committee member, not by post, and ensure you ask for a receipt.
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GENERAL DATA PROTECTION REGULATIONS (GDPR).

We contact members by Email, letter, or on occasions, call by phone.  The purpose of this contact is as follows: to send information regarding membership, to inform you of MDBG meetings, to inform you about badger and wildlife related issues that you may be interested in, to update you on group activities and to request your help with a badger related issue.

Following government legislation, we require specific consent from you in order to contact you.

Please read the following statements then indicate your consent by ticking the boxes below.

I/WE CONSENT FOR THE MID DERBYSHIRE BADGER GROUP TO SEND ME/US INFORMATION AS DESCRIBED ABOVE THROUGH THE METHOD/S I/WE HAVE SELECTED BELOW.  I/WE WILL UPDATE MDBG IF ANY OF MY/OUR CONTACT PREFERENCES CHANGE.

You have the right to revoke this membership at any time by contacting the Membership Secretary.

Your personal details are only for the use of the Mid Derbyshire Badger Group and will not be disclosed to any other person or body.
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Required
Date. *
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Would you like to be added to our WhatsApp MDBG chat group?  If you would, please give your mobile contact number here and we will add you to the group. *
Would you like to be involved in any of the following MDBG activities?  Please select all that apply. *
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