Keep up to date with everything the Green Party is doing by visiting:www.greenparty.org.uk/news
The official Green Party magazine can be found here:www.greenworld.org.uk
See what elected Greens are up to:www.greenparty.org.uk/people
facebook.com/TheGreenParty twitter.com/TheGreenParty
instagram.com/TheGreenParty [email protected]
C
M
Y
CM
MY
CY
CMY
K
Join Renew Form.pdf 1 25/05/2017 15:54:13
Promoted by Judy Maciejowska on behalf of the Green Party of England and Wales, The Biscuit Factory, Unit 201, A Block, 100 Clements Road, London, SE16 4DG
Please return to: Freepost RTUC-HRKX-TGHG, The Green Party The Biscuit Factory, A Block (201), 100 Clements Road, SE16 4DG
Standard £36 Standard £3 monthly
Low Wage £12
Unwaged £6
Individual International £12
Student £6
one-off donation
monthly donations
£5.00
£15.00
£50.00
Other
££25.00
If paying by cheque please make it payable to The Green Party
Full name*
Full postal address*
Telephone number*
Date of Birth*
Email*
Card number
Valid from / Security codeExpiry date / Issue number
paying by card (We don’t accept amex)
No contact by email No contact by post No contact by phone No contact by SMS No contact by social media
C
M
Y
CM
MY
CY
CMY
K
Join Renew Form.pdf 2 25/05/2017 15:54:13
* Required fields
Name and full postal address of your Bank / Building Society
Branch Sort Code
Name(s) of Account Holder(s)
Bank/Building Society Account No.
Direct Debit is the easiest, safest way to pay: Service User Number
Reference
9 7 3 6 6 9
Instruction to your Bank or Building Society
Signature
Date
Please pay The Green Party Direct Debits from the account detailed in the instruction subject to the safeguards assured by the Direct Debit Guarantee.I understand that this instruction may remain with The Green Party and details will be passed electronically to my Bank/Building Society.
By signing up as a member you’re giving consent to the Green Party and its representatives to contact you about campaigning, fundraising, and all other Party activities. We’ll contact you by email, post, phone, SMS, and social media. You can opt out by ticking the relevant boxes below.