join

Name
Address
Address2
County
Post Code
E-Mail
Date of Birth*	ddmmyy
Type Of Membership (New Membership only)
Renewal- Enter Y or N
	*INTRODUCED BY*
Members Name

All new members require a further £5 one off registration fee.

All households need a further £5 household fee

Examples:

1) New Adult Member would be: £17.50 + £5 registration fee + £5 household fee = £27.50

2) Renewal would be: £17.50 + £5 household fee = £22.50

* The age of a person at his or her renewal of subscription of joining the BRC determines whether the Junior, Adult, Senior Citizen rate of subscription applies for that year *

Any additional information.

Please ensure you enter the 3 digit security number in the allocated box

Card Type issue no(switch)

Card Number commence expiry 3 digits on reverse

Name On Card

Phone number day evening