Please complete the below form

Notes in the right hand column

Name *

Email address *

Address *

Telephone *

Emergency Contact *

Emergency Number *

Payment Method *

LS (Lump Sum) or SO

Type the word from below *

THE FIRST FOUR WEEKS ARE FREE SO THAT YOU
CAN DECIDE IF YOU WISH TO BECOME A FULL MEMBER

Under 18's Membership is free but
children must be accompanied by a responsible adult.

One Year's membership is £126.65
Monthly Standing Order payments are £10.55 (x12)

BWPS Bank A/c 01115097 - 30-91-20

Fees include
      Free entry to Meetings and use of facilities
      BWPS Membership
      Membership of the Western Counties Photographic Ferderation
      Affiliation to the Photographic Alliance of GB
      Membership of the Community Centre and all facilities

Declaration. In submitting this form you agree to abide by the "Constitution" of Bridgwater Photographic Society (henceforth BWPS) and by the Code of "Conduct".

I agree thet the information supplied on this formcan be held by the BWPS and I further agree that BWPS can use my e-mail address for the purpose of contact or the dissemination of information.

Your information will not be passed to any third party.