BCA Membership form

 

(right click mouse to print)   

 

NAME  

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ADDRESS

 

……………………………………………………………………

 

……………………………………………………………………

 

TELEPHONE ………………………………………………….

 

E-MAIL …………………………………………………………

 

PROFESSION or EXPERTISE*

……………………………………………………………………

 

NAME of SPOUSE/PARTNER

……………………………………………………………………

 

PROFESSION or EXPERTISE*

……………………………………………………………………

 

TYPE OF MEMBERSHIP SELECTED

(Tick relevant box)

 Individual 30 €

 

Joint (Family) 40€

 

 Student 15

________________________________________________

 

OPTIONAL

If you have children under 16 please give

their names  and ages:

 

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Post your Membership Application Form to

British Cultural Association

8 rue du Bras de Fer

34000 Montpellier