Gift Membership (joint)

Your Details

Title *

First Name *

Surname *

Your email address *

Please tick if you are happy to be contacted by Friends of the Lake District about our work, campaigns, fundraising, events and other ways you can support our aims. *

YesNo

Your telephone number

Your address (if you want the gift sending to you to pass on)

Details of the people receiving the gift

Person 1 - Title *

First Name *

Surname *

Date of Birth

Person 2 - Title *

First Name *

Surname *

Date of Birth

Address *

Postcode *

Message to go with your gift membership (optional, we can send a card with your message):

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 membership pack sending: *

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

What prompted you to buy this gift?

Campaign - please state below which oneLeaflet in Cumbria LifeArticle in the newspaperLeaflet in Lakeland Walker Picked up a leafletFriends of the Lake District e-newsFriends of the Lake District magazinePlanning application - please state which oneLeaflet in Cumbria magazineOther

Other (please state)

Is anyone receiving this membership under 18? *

NoYes

FREE socks! Every buyer of a gift membership in October receives a free paif of Smartwool walking socks. Please make sure you have left your address to send them to!

Women’s (5 - 7.5)Men’s (8 - 10.5)

FREE socks! Every buyer of a gift membership in October receives a free pair of Smartwool walking socks. Please make sure you have left your address to send them to!

Women’s (5 - 7.5)Men’s (8 - 10.5)