BvH Membership Form

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BvH Membership Form

Do you wish to join as a First or Second Claimant? *

1st

2nd (If you wish to retain main membership with another athletics club)

Which membership rate do you wish to join at? *

Single

Concession

Completed BvH Beginners Course

Title *

Mrs

Miss

Other:

First Name *

Surname *

Date of Birth *

YYYY

Sex at Birth *

Male

Female

Email Address *

Contact Number *

Mobile Number (if different)

Address Line 1 *

Address Line 2 *

Address Line 3

Post Code *

Do you wish to join as part of a Couple or Family? *

Yes

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