Bury Metro 2019 Season Membership Form
Adults £15, Juniors £8 (Under 16 as of 1st January 2019)

Paypal your membership fee to info@bmrcc.co.uk or follow this link www.paypal.me/bmrcc
Email address *
Name *
Your answer
Adult or Junior *
Required
BRCA Number (Leave Blank if Unknown)
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Post Code *
Your answer
Contact Number *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Number *
Your answer
Any medical conditions we should know about?
Your answer
Club / BRCA Rules *
Required
By submitting this form you agree to us holding the above data in a secure environment, we will not pass any data on to other parties and we will only contact you via email with general club news, emergency numbers are not required but it's best we have them just in case. PayPal Membership fee £15 for Adults and £8 for kids. PayPal = info@bmrcc.co.uk
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