Online Application Form Membership required Membership required Single adult - £10 per annum. Family - £15 per annum. Additional voluntary donation £ Name Email Address Postal address including Postcode Telephone Number (optional) Mobile Number (optional) Preferred method of contact (email is our preferred method, it saves us considerable time and postal expenses) Preferred method of contact (email is our preferred method, it saves us considerable time and postal expenses) Email Post Interests or Skills I may wish to offer (optional) Gift Aid (Please tick so we can reclaim the tax on your donation) Gift Aid (Please tick so we can reclaim the tax on your donation) I wish to claim GIFT AID GDPR Consent (compulsory) GDPR Consent (compulsory) I give consent for you to hold my details until such time that I ask for them to be deleted/removed from your Membership database. I give consent for you to contact me on anything to do with North Walsham and Dilham Canal Trust affairs Submit