Form 2 | Woolston Eyes Permits

Permit Application Form
Registered Charity No: 700362

I wish to apply for or renew a permit to visit Woolston Eyes nature Reserve.

Things to know before you apply:

You cannot access any part of the Reserve on foot or enter with vehicles without an access key.
You need to have an active email address to complete an online application or renewal.
In the following form All Boxes Must Be Answered or the form will not submit.
Some boxes contain a drop-down menu (v) symbol, please choose one of the options listed.
If your screen does not show a THANK YOU message a second or two after clicking the SUBMIT button the form has an error and has not been submitted. Please scroll back up the form to look for boxes or text that have turned red, read the help note(s), make the necessary corrections and re-click the SUBMIT button to send the form and receive the Thank You acknowledgement.

Title

Forename(s)

Surname

Address

Postcode

Annual Wildlife Report

Permit Type

Permit Style

Application Type

New Field I will require the loan of an Access Key @ £10 (to be returned to us if you do not continue to hold a valid permit)

New Field Do you Require a Replacement Access Key @ £10 (to be returned to WECG if you do not continue to hold a valid permit)

Donation

Gift Aid Gift Aid Yes. I want WECG to claim Gift Aid on permit subscriptions and donations I make now, in the future and if applicable, treat all subscriptions and donations that I have made in the last 4 years, from the date of this declaration, until I inform you otherwise as Gift Aid donations. I note that I must pay an amount of Income tax/and or Capital Gains Tax for each tax year that is at least equal to the amount of tax that will be reclaimed on my donation. I confirm that I will inform yourselves if I wish to cancel this declaration, when I change address or if I no longer pay sufficient Income Tax/and or Capital Gains Tax to allow Gift Aid to be reclaimed on my behalf. No. I don't want WECG to claim Gift Aid on subscriptions and donations I make.

Payment Payment I have paid by bank transfer and I have used my Postcode and surname as the bank transfer reference (e.g. WA1 4AA Smith). - Our bank details are: Sort Code 60-20-29 Account No: 39762467 - Account Name “The Woolston Eyes Conservation” I have sent a cheque/Postal Order and I have written my Postcode and surname on the back of my cheque.

Please enter the Postcode and surname you used here

Permit Holder's Title

Permit Holder's Forename(s)

Permit Holder's Surname

Permit Holder's Address

Permit Holder's Postcode

Send Directly to Permit Holder's Address?

Costs

Postal address for Key Returns and Cheques

John Blundell, 48 Fifth Street, Barrow Bridge, Bolton, BL1 7NA

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