29FSC MembershipTo help the FSC by becoming a member please complete the form below. As a member you will. Support the Kids Fund providing free courses for disadvantaged young people. Benefit from an exclusive preview of the FSC Leisure Learning and Professional Courses Programme. Receive FSC Magazinewith information on development and news throughout the FSC. Receive the FSC Annual review and reportThis form can be used to join or renew membership. If you are booking a course the membership application form can be sent to the FSC Centre who will process it. Alternatively, themembership form can be sent directly to FSC Head Office, Preston Montford, Shrewsbury SY4 1HW.MEMBERSHIP APPLICATION FORMGift AidI would like the Field Studies Council to reclaim tax on any donations or membership subscriptions that I make now and inthe future. I confirm that I pay an amount of UK income tax or capital gains tax at least equal to any tax claimed.Signature:Date:4Four easy steps to helping the FSC achieve its goals:Step 1:Decide on method of payment.Step 2:Complete your personal details.Step 3:Tick your membership preferences.Step 4:Make a Gift Aid declaration (if you can).1Personal Details (BLOCK CAPITALS PLEASE)Title:Full NameFull Address:Postcode:Tel No:E-mail Address:2Credit/Debit Card PaymentsPlease debit myCard Number below:Valid from:Expiry date:Issue No:(switch/solo only)Cardholders's name (BLOCKCAPITALSPLEASE)Signature:Date:Membership PreferencesI wish to become a member.I wish to renew my annual membership Membership No (if known)Annual Individual Membership£15.00Annual Family Membership£25.003Payment DetailsPayment by cheque. Please enclose cheque made payable to Field Studies Council.Payment by credit card. Please complete details in box 3.
3029www.field-studies-council.orgBooking deposit(s) @ ££ORFull course fee(s)@ ££Total enclosed£Cheques should be made payable toField Studies Council.Please charge my Mastercard? Visa?Delta? Switch(issue no.) ?Card no.Start dateExpiry datePAYMENTlFull payment will be required to confirm bookings on all day courses and residential courses under £100.lA deposit of £50 per person is required to confirm bookings on residential courses £100 and above. lFull payment is due on bookings made less than 8 weeks before commencement of the course. lThe deposit paid in respect of each course is accepted asa first instalment of the charge and is not refundable. lIf a booking cannot be accepted, notification and refundof any deposit will be sent as soon as possible. FSC Courses Booking FormFor Centre Use OnlyPlease send this form to the relevant Field Centre.Use a separate form for each Centre to which you wish to apply.You should make a provisional booking by contacting the Centre concerned.Further forms can be obtained from FSC Head Office and FSC Centres or a photocopy can be used.Course(s) for which you are applying:Name of Field CentreCourse TitleDates1234Please tick the appropriate boxes:?ACCOMMODATIONI require a sole occupancy room?I would prefer a single room, but will share if necessary?I would prefer to share a room?I wish to be non-resident?Until this deposit is paid the booking is treated as provisional and there is no certainty that a place can be held. The deposit is automatically forfeit ifthe booking is cancelled for any reason. If cancellation is made less than 28 days before the commencement of the course, the balance of the fee ispayable in full, a condition which is accepted when the booking is confirmed. Signed:Date:FUTURE MAILINGS To help us send you relevant information please indicate which course brochure you would like to receive in the future.? FSC Natural History Courses ? FSC Arts Courses ? FSC Family Holiday CoursesNo. PeoplePer Person TotalNo.TitleFirst nameSurnamem/f FSC Membership No. (if applicable) PostcodeAddress for correspondenceTel (home)Tel (daytime)emailPlease send FSC Membership details ?If you require special meals for medical or ethical reasons pleaseindicate the type of dietIf you have a medical condition, physical or sensory impairment,or learning difficulty which is relevant to the course pleaseattach a note giving details, which will be treated in confidence.OTHER REQUIREMENTS