Before completing the form – please click here to read our Memorandum and Articles of Association Membership ApplicationYOUR DETAILSName of Company / Organisation / ClubTitle (Person 1) *First Name/s (Person 1) *Surname (Person 1) *Occupation (Person 1)Title (Person 2)First Name/s (Person 2)Surname (Person 2)Occupation (Person 2)Email Address 1Email Address 2Home Address * Address Address Line 2 City State / Province / Region Postal / Zip Code AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiComorosCongo (Brazzaville)CongoCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMoroccoMozambiqueMyanmarNamibiaNauruNepaNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe Country Telephone - LandlineTelephone - MobileMEMBERSHIP DETAILSSelect *Type of SubscriptionIndividual - £15Senior Citizen Couple - £15Couple - £20Senior Citizen - £10Corporate (up to 20 employees) - £40Corporate (more than 20 employees) - £100Confirm Initial Subscription Payment Method * Cheque OnlineGift Aid DeclarationIf you are a UK Tax Payer the River Stour Trust can reclaim up to 28p for every £1 you give in subscriptions and/or donations at no additional cost to you. You must pay an amount of income tax and/or capital gains tax at least equal to the tax that can be reclaimed. You are entitled to cancel this declaration at any time.Yes! I would like the tax to be reclaimed on any eligible donations or membership subscriptions that I have made or will make to the River Stour Trust until further notice. (please tick box) Person 1 Person 2To: The Council of Management, River Stour Trust LtdI desire to become a member of the Trust and hereby agree if elected, to be bound by all provisions of the Memorandum and Articles of Association of the said Trust.Checkbox * Person 1 Person 2Application Date (MM/DD/YYYY) *FEEDBACKPlease help us to attract new members by answering the questions below.How did you hear about the River Stour Trust? *Why are you joining the River Stour Trust? *VerificationPlease enter any two digits with no spaces (Example: 12) * This box is for spam protection - please leave it blank: