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Brentford Dock 150

BCC Membership and Renewal Form

Print out this page or download as a pdf file.

Send the form together with a cheque of £15 made payable to Brentford Cruising Club, c/o The Secretary, 3 Julius Court, Brentford Dock, Brentford, TW8 8QH, as your subscription for the year 2010.

Name:

Address:

 

 

Email:

Mobile Phone:

Home Phone:

Boat Name:



Include the following as a member of my household on this application:

Name:



My application for membership (new members only) will be supported by the following BCC member:

Existing BCC Member:

Date:

Signature:


Note: Contact details will be shared with other club members

All members are reminded to update us with any new address details and especially if you change your email address.