MEMBERSHIP APPLICATION FORM

 

NAME (Mr/Mrs/Ms/Miss/Other)............................

ADDRESS................................................

TOWN...................................................

COUNTY.................................................

POST/ZIP CODE..........................................

COUNTRY................................................

TELEPHONE NUMBER.......................................

E-MAIL ADDRESS.........................................

Areas of interest......................................

.......................................................

.......................................................

Membership required (l delete as appropriate)

l Ordinary - £12.00  per annum.   

l Junior (under 18)/Senior Citizen  - £9.00  per annum.

l Life £240

l Family (2 Parents and 3 children max.) £34.00  per annum.

    (Figures correct for 2008 only)

These annual subscription rates are minimum figures and are subject to change without notice.

 Please make a donation if you can afford it.

I understand that upon admission, I shall remain a member until I give written notice of my resignation and that I shall be entitled to vote at any General Meeting of Members, only when subscriptions due have been paid in full.

(Please note: Junior members are not entitled to vote)

Signature........................................

Date.............................................

Please return this form with your subscription

(Cheque/PO payable to BCMTG) to:

The Membership Secretary (BCMTG)

15 Dalwood Close

COSELEY WV14 9TY

ENGLAND.