1. Your Details

NONE OF THIS INFORMATION WILL BE PUBLICLY DISPLAYED ON OUR WEBSITE

Your Name (required)

Organisation Name (optional)

Address (required)

Your Email (required)

Your Telephone Number (required)

Twitter Name (So we can follow you!)

Facebook Name

3. Membership Type

Please select one (required)

IndividualStudent

5. Geographical Area in which you are based

Our areas are divided as indicated below.

Select Area
NATIONAL (remit)SOUTH WEST (Avon, Cornwall, Devon, Dorset, Gloucestershire, Somerset, Wiltshire)NORTH WEST (Cheshire, Cumbria, Lancashire, Greater Manchester, Merseyside, West Yorkshire)MIDLANDS (Derbyshire, Hereford and Worcester, Lincolnshire, Leicestershire, Northamptonshire,Nottinghamshire, Shropshire, Staffordshire, Warwickshire)NORTH EAST (Cleveland, Co. Durham, Humberside, Northumberland, North Yorkshire, South Yorkshire, Tyne and Wear)SOUTH EAST (Bedfordshire, Berkshire, Buckinghamshire, Hampshire, Hertfordshire, Isle of Wight, Kent, Greater London, Oxfordshire, Surrey, East Sussex, West Sussex)EAST ANGLIA (Cambridgeshire, Essex, Norfolk, Suffolk)SCOTLANDWALESNORTHERN IRELAND

6. How did you hear about us?

Web searchAHFHLFLocal Council / Conservation OfficerWord of MouthHTN meeting / memberOther - please specify

6. How can we contact you?

EmailMailchimp HTN Newsletter EmailsPhoneMobilePostOther - please specify

7. How may we use your images? (We often take images at our events to help promote our work.)

Social mediaHTN websiteTo represent HTN on other websites e.g EventbriteOn HTN printed marketing

7. Can we share your contact details? (We would like to be able to share your contact details with 3rd parties who provide HTN member benefits.)

I give permission for HTN to share my contact details with 3rd parties who provide membership benefits/services to HTN members.