I wish to apply for a permit to visit Woolston Eyes Nature Reserve
 

 at a cost of £8 /year single   [  ] (Please tick)

               £16 / year  family  [  ] (Please tick)

 Key for barriers and footbridge gate to No3 bed  

 at "one off" non -returnable deposit of £10  [  ]    (Please tick)

 Name __________________________________

 Address __________________________________

              __________________________________

              __________________________________

              __________________________________

Post Code _______________

e-mail address (to receive Annual Newsletter)
___________________________________

Please send the completed form and remittance to:-

Mr B Ankers , 9 Lynton Gardens, Appleton ,Warrington, WA4 5ED.

Cheque/ postal order should be made payable to:- W.E.C.G.

Please enclose a large (preferably A5) stamped addressed envelope