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This page last updated:- Wednesday, May 8, 2013 14:56

On Line Membership Form 2013-14

Please fill in all fields marked with a *
First Name* Surname*
Address* Age*
Date of Birth*
Town/City* County*
Post Code*    
Name of first claim club, if any
UKA/EA Competition License Number, if any, (or N/A)
E-mail Address*
Please note that all BFH club info will be sent via e-mail.
If you do not read or regularly monitor your e-mails, please mark with a, *, after your e-mail address above, and suggest a suitable alternative means of updating you, to the club secretary.
For all new club members only, please suggest a suitable e-mail alias:-
1st Choice @bfh.org.uk 2nd Choice @bfh.org.uk
Home Phone Mobile Phone
I wish to apply for the following type of membership to Brandon Fern Hoppers for the period, April 1st 2013 - March 31st 2014.
Please note that if you choose the £5 membership, and you enter an EA race, you must do so as an unaffiliated runner, and pay the full non discounted fees.
Also, if you choose the £15 membership, only the bare essential information will be entered on the EA database, by BFH, on your behalf.
BFH affiliate to both EA and ARC.
Brandon Fern Hoppers will use the above information in the creation of a club only contact list.
If you would prefer NOT to be on this list, please uncheck this box