I wish to apply for a BGA School Membership at £18.00 for

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.





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