Step 1 of 2 50% Become a Friend of Ferne Friendship Level*Individual Friendship £3 per monthJoint Friendship £4 per monthFamily Friendship £5 per monthLifetime Individual Friendship £750OtherWould you like to add extra and enjoy unlimited entry to the Sanctuary each year?Add £1 per monthWould you like to add extra and enjoy unlimited entry to the Sanctuary each year?Add £2 per monthWould you like to add extra and enjoy unlimited entry to the Sanctuary each year?Add £2.50 per monthIf you can afford to give more, please enter the total monthly amount you wish to pay below* For other payment options please call 01460 67587Your details Please fill in your details below. Fields marked with an asterisk * are required.Your Name* Title Please selectMrMrsMissMsDrProfRev Forename Surname Your Address* Address Line 1 Address Line 2 City County Postcode Country CountryAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Your email* Enter Email Confirm Email Telephone*MobileWhat prompted you to become a member today?Please selectI saw a TV AdvertI spoke to a Ferne Animal Sanctuary fundraiserI received an emailI saw a social media postI received a letter in the postI saw an advert in a magazine/paperAfter visiting the SanctuaryFerne WebsitePreviously adopted an animal@Ferne MagazineAfter visiting a charity shopOtherWould you like to tell us more?We would like to keep you informed about what we are achieving with your support, our events, and other ways you can help the charity. If you are happy to receive this information, please indicate below how you would like us to contact you":I'm happy to be contacted by: Post Email SMS Telephone We will also process your data for administration purposes and to contact you about your Friendship. All information that we hold concerning you as an individual will be held and used by Ferne Animal Sanctuary in accordance with the General Data Protection Regulation and the Data Protection Act 2018. This data will be used by us to manage and administer our relationship with you, and to provide you with information about our activities and for related purposes. We will not, without your consent, give your name and address to any third party except where it is a necessary part of the activities that we undertake, or we are required to do so by the operation of the law. Please visit www.ferneanimalsanctuary.org/privacy-policy if you have any questions about how we use your data. Direct Debit details Instructions to your Bank or Building Society to pay by Direct Debit Instruction to your Bank/Building Society: Please pay Ferne Animal Sanctuary Direct Debits for the account detailed in this instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this instruction may remain with Ferne Animal Sanctuary and, if so, details will be passed automatically to my Bank/Building Society.Preferred Payment Date*1st22ndName of Account Holder/s*Name and full postal address of your Bank/Building Society*Branch Sort Code*in xx-xx-xx formatAccount Number*Gift AidIf you are a UK tax payer, simply tick this box to increase your donation by 25%, at no extra cost to you. Yes Please let us know if you want to cancel this declaration, change your home address or no longer pay sufficient Income Tax and/or Capital Gains Tax. If you pay income tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HMRC to adjust your tax code. This iframe contains the logic required to handle Ajax powered Gravity Forms.