Membership runs from the 1st January to the 31st December Please Select One of the Payment Methods Below for your NEW FULL MEMBERSHIP Application BACS Payment Cheque Payment New Membership Bank Transfer(BACS) £20.00 _________________________ DetailsAddress Contact Details _________________________ Applicants Spouse/Partner's Details Details Contact Details _________________________ Children's Names & Dates of Birth for 17 years of age & under. _________________________ Have you ever Belonged to any other BLCCA Club Yes / No (Reqiured)—Please choose an option—NoYesIf Yes Which BLCCA Club was you part of:- —Please choose an option—Longbridge CCCLand RoverWolseleyAlvisCoventry Morris EnginesJaguarLeylandMGMorris MotorsRover CardiffRover CowleyStandard TriumphSwindon_________________________ INCORRECT INFORMATION REGARDING THE ABOVE QUESTION WILL RESULT IN EITHER EXCLUSION OR NON ACCEPTANCE OF THE LONGBRIDGE CAMPING AND CARAVAN CLUB MEMBERSHIP. _________________________ Membership Types FULL MEMBERSHIP £20.00 (Full membership includes 2 adults & all children 17 and under) Type of Membership Applying for FULL MEMBERSHIP £20.00 _________________________ Club may Contact you by Post, E-Mail or Phone regarding any of the above details. _________________________ Payment Method Bank Transfer (BACS) _______________________ _________________________ New Membership Cheque £20.00 _________________________ DetailsAddress Contact Details _________________________ Applicants Spouse/Partner's Details Details Contact Details _________________________ Children's Names & Dates of Birth for 17 years of age & under. _________________________ Have you ever Belonged to any other BLCCA Club Yes / No (Reqiured)—Please choose an option—NoYesIf Yes Which BLCCA Club was you part of:- —Please choose an option—Longbridge CCCLand RoverWolseleyAlvisCoventry Morris EnginesJaguarLeylandMGMorris MotorsRover CardiffRover CowleyStandard TriumphSwindon_________________________ INCORRECT INFORMATION REGARDING THE ABOVE QUESTION WILL RESULT IN EITHER EXCLUSION OR NON ACCEPTANCE OF THE LONGBRIDGE CAMPING AND CARAVAN CLUB MEMBERSHIP. _________________________ Membership Types FULL MEMBERSHIP £20.00 (Full membership includes 2 adults & all children 17 and under) Type of Membership Applying for FULL MEMBERSHIP £20.00 _________________________ Club may Contact you by Post, E-Mail or Phone regarding any of the above details. __________________________ Payment Method Cheque. _________________________ _________________________ Membership runs from the 1st January to the 31st December Facebook
