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Application Form for membership to BCUK
Full Name: ....................................................................Joint
Member:.....................................................................
Address: ...............................................................................
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Postcode: .......................................
Telephone Number:
Home: ..................................................... Work:
......................................................
E-Mail Address: ..............................................................................
Date Of Birth: ........./............./............
Joint Member's Date Of Birth: ........./............./............
Hobbies & Interests (be as specific as you wish): ................................................................................................
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Would you be willing & able to accommodate
"Travelling Bears"?: .................................................................
If "Yes", how many at one time?: ...........................................................................................................................
How did you hear about the club?: ......................................................................................................................
Data Protection Act: Your details will not be disclosed to any
outside parties or members of the club other than officials of
BCUK.
Area Contacts: Your name and address will normally be passed
on to your local Area Contact, who is a BCUK official. Please
tick here if you object to this:
Membership Fees:
Single Member £10.00; Overseas £13.00 Sterling.
Joint Members £16.00 (two people at the same address);
Overseas £19.00 Sterling.
Badges: If you wish to order a badge, please
add a further £ 5.00 for each badge
Please enrol me/us as member(s) of Bears' Club UK.
I am/We are over 18 years of age.
I/We agree to abide by the constitution of the club as may be
amended from time to time.
I/We enclose a cheque/postal order for
£ ......:......... payable to "Bears' Club UK".
(a recent photo would be useful if you have one spare).
Signature: ..............................................
Joint Member's Signature:...........................................
Date:........./........./......... Date:
......../........./.........
Please complete this form and return it
to:
BCUK, PO Box 89, HOYLAKE D.O. Wirral , CH47 4LD
Please Note: Bears' Club UK reserves the right to refuse any
application without giving reasons. BCUKweb
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