Membership Form

Membership Fees

Adult £6 / $12
Life Membership £60 / $120
Children under 16 years FREE

Please fill in the form below using capitals (using Tab not Enter) then print the form, using File, Print.

Name: 
Address: 
 
 
 
Postcode:

No:Memberships at £6.00 / $12

No:Memberships at £60.00 / $120

No:Memberships free (under 16 years)

Amount Enclosed £/$:

Cheques/Postal orders should be made payable to Animals in Distress and sent, with this form to: Animals in Distress Field of Dreams, Swaindrod Lane, Littleborough, Lancs, OL15 0LE

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