Mereside Fixed Wing Model  Club

                                                                        Affiliated Club No 152

 

Membership Application Form

 

I, the undersigned, hereby apply for membership of the Mereside Model Club, having read and agreed to abide by the rules and regulations of the Club.

 

(Please print in block capitals)

 

Full name………………………………………… 

 

Address………………………………………………………………………

 

……………………………………………………..

 

Post code……………………...

 

Home Tel. No……………………..                 

 

 Mobile Tel No…………………….

 

e-mail address…………………………………….

 

If you are already a BMFA member, individually or through a club, could you please provide the following details:

 

BMFA No…………………………….expiry date………………………………

 

Affiliated or society………………………………………………………………

 

MEMBERSHIP DETAILS                     

Fees:

Senior member                              £ 75.00

                                                                        Junior member                               £25.00   (to be accompanied by an adult member)

BMFA Membership (including insurance) :

Senior member                              £ 29.00

Parent and child                             £

2 family adult members                 £

REMITTANCE ENCLOSED       £

……………………………………………………………………………………

                Cheques/Po’s made payable                 

“Mereside  Model  Club”  

 

        Post or return to:     

                                    

                                            Philip Yates                                              

6 Willow Way

New Longton

Preston

Lancs

PR4 4YQ

 

MEMBER’S SIGNATURE …………………………………date