Untitled Document

I hereby apply for membership of the Bournemouth Radio Society. I agree that if I am elected
I will abide by the Constitution of the Society as it is at present, or as it may be amended.
I understand that membership fees are due on joining and thereafter at the AGM in October each year.
Members joining after the end of October pay proportionally for the remainder of the year.
Current fees are :-

Full Member (18 years or older):	£15.00 per annum.
Junior Member ( under 18):	F R E E !
If under 18 please give date of birth:-	.... / .... / ....

I enclose cash / cheque made out to "Bournemouth Radio Society" for £.............................

The Committee of the Society reserves the right to refuse membership according to the Constitution.
Personal details may be kept on a computer and published unless the Member expressly wishes otherwise.

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