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APPLICATION FOR MEMBERSHIP FOR 2017


Membership fees are:

Single Adult  £20.00

joint Membership 1 Colour Breeder one address  £20.00

joint membership 2 colour Breeders two addresses  £40.00

Junoir Membership     £10.00

Overseas Membership    £30.00

Please write clearly in block capital letters as this form is used for adding your information to our Database


 NAME:  ..................................................................................................

ADDRESS: .......................................................................................................................................

             ............................................................................................................................................

             ........................................................................... POSTCODE: ...............................................

TEL:-    .......................................................... EMAIL: ......................................................................


NUMBER OF BIRDS CURRENTLY KEPT( FOR Compensation cover PURPOSES) ________________________


Please make Cheques or Postal orders payable to the C.C.B.A

 

I ENCLOSE A CHQ/PO FOR THE SUM OF £ _________ 

 

To comply with the Data Protection Act ,please indicate if the CCBA can share this information with like minded Aviculturists


YES / NO 


Please send completed form with remittance to:

The Secretary , CCBA

Gary Lewis
11 Justicia Way,
Up Hatherley
Cheltenham
Gloucestershire
GL51 3YH
Tel: 01242706205


                                                                                                                                 Click the print icon below.