Gift Membership (individual)

Your Details

Title

First Name

Surname

Your email address

Please let us know if you are happy for Friends of the Lake District to email you about our work, campaigns, fundraising, events and other ways to support our aims.

Yes

Your address

Phone Number

Details of the person receiving the gift

Title

First Name

Surname

Address (required)

Postcode (required)

Message to accompany gift (optional, we include a greetings card with the membership):

Is there a date you need the gift membership to arrive by? If so please write the date here:

Please tell us where you would like the pack sending: (required)

To my address so I can give it to themDirect to the gift recipient’s address

What prompted you to buy membership?

Campaign - please state below which oneLeaflet in Cumbria Life MagazineArticle in the newspaperLeaflet in Countryfile magazinePicked up a leafletFriends of the Lake District e-newsFriends of the Lake District magazinePlanning application - please state which oneOther

Other (please state)

Is the person receiving the gift under 18? (required)

YesNo

Anything else you need to tell us?