Name of school/club ______________________________________
Contact name _____________________________________________
Address __________________________________________________
__________________________________________________
__________________________________________________Phone (optional) _________________________________________
Email (required) _________________________________________
I enclose a cheque for £_______
I agree that the BGA may keep a record of this information, on the understanding that it will not be passed on to any other organisation, except as required by law.
Signed _________________________________________
Date _________________________________________
Last updated 14th February 2006.