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Credit card membership application form.

Complete the form below,
print it out from your browser and post to the address below.

Yes, I would like to become a member of the Natural History Museum for 1 year
Title
First name
Last name
Email
Address
Postcode
Telephone
Additional adult at the same address (details for two adults and family memberships)
Title
First name
Last name
Family members under 17 (for family memberships)
Title
First name
Last name
Date of birth
Title
First name
Last name
Date of birth
Provide details of additional children on a separate sheet.

I/We wish to join as:

Adult - £55.00

Joint Adult - £68.00

 

Family - £73.00  

Child - £35.00

Concession * - £35.00

Adult + 1 child - £65.00

 

Adult + 2 children - £68.00

*Student / Pensioners/ Unemployed / Registered disabled
Source:M2000webcc
In addition I would also like to make a donation of: £
Total payment £
We may arrange for members to receive information on products and services we think may be of interest to them. If you do NOT wish to receive these offers, please tick the box.

Next, fill out your credit card details.

Name on the card

Address the card is held at
(if different from above)
Postcode
Expiry date
Card type
Card Number
NHM reference No.
(OFFICE USE ONLY)
Security Number
(last three digits of the number on your card's signature strip)
Signature
Date

Now PRINT the form, sign it and send it to :

Membership Office
The Natural History Museum
FREEPOST LON10956
London SW7 5BR
UK

No postage is required but if you use a stamp it will reduce our administration costs.

Membership - A natural partnership