Friends of Stanley Park Membership Application Form (12 month subscription, please note that membership full renewal is due in February regardless of the date joined) Please tick box that applies Number Rate Friends of Stanley Park (Standard Subscription) £5.00 Young Friends of Stanley Park no fee Family Rate £5.00 Total Number ________ Total_______ Exemptions at the discretion of Key Working Group Annual Subscription, Feb to Feb every year. Full 1 Year Membership Name: …………………………………………………………. Address:……………………………………………………….. ………………………………………………………………….. ………………………………………………………………….. Telephone:……………………………………………………. Email address:………………………………………………… Method of Payment Cash Cheque Date of Joining:………………………… Date of Membership:………………….. Expiry Date:…………………………….. Signature __________________ Friends of Stanley Park & Salisbury Woodland c/o Parks & Green Environment Service Stanley Park Offices West Park Drive Blackpool FY3 9HU