BOURNEMOUTH AMATEUR
TELEVISION GROUP

Please print this form out and hand or post it to the Treasurer: Colin Watts G4KLB 42 Truscott Avenue Bournemouth BH9 1DB 01202 519543

APPLICATION FOR MEMBERSHIP.
I hereby apply for membership of the Bournemouth Amateur TV Group.
I agree that if I am elected I will abide by the rules of the BATG.
I understand that membership fees are due on joining and thereafter each year.
Current fees are :-

Full Member (18 years or older):	£18.00 per annum.
Associate Member (or under 18):	F R E E !
If under 18 please give date of birth:-	....... / ....... / .........

Please enrol me as a Full Member I enclose cash or cheque made out to "Mr Watts " for £ 18
Please enrol me as an Associate Member

The Committee of the Society reserves the right to refuse membership according to the Constitution.
Personal details given below may be kept on a computer unless the Member expressly wishes otherwise.
If you request not to be, it will mean that we cannot send you emails etc and may mean reminders are late.
No details will be passed to other organisations without your permission .
Yes, you may keep my details on computer
No, please keep no details on computer

Please use block capitals...
................... Callsign	.....................
Title (Mr/Mrs etc.)	...................
Surname:	...............................................................
Forenames:	...............................................................
Address:
Post Code:	.........................
Telephone : Mobile:	............................................................... ...............................................................
e-mail address:	...............................................................
Signature:	.................................................
Date:	.................
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