THE BRITISH EARTH SHELTERING ASSOCIATION
B.E.S.A Membership Form
Please & complete the form below and return by post to:-
David Woods, 15 Maes-y-fron, Abercrave, Swansea Valley. SA9 1XE
Name: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Telephone Number: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Postal Address: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Post Code _ _ _ _ _ _ _ _ _ _ _ _ _ _
E-mail address: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Your web site address: http:\\ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
I / We wish to join / renew membership of The British Earth Sheltering Association.
I enclose cheque for £_ _ _ _ To cover Full / Corporate / Student* membership (made out to BESA)
*College or University: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Name of Tutor: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
If you wish to pay by standing order please also complete the section below.
Name of account holder: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Name of Bank / Building society: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Address: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Post Code: _ _ _ _ _ _ _ _ __ _
Sort Code: _ _ _ _ _ _ _ _ Account No _ _ _ _ _ _ _ _ _ _ _ _ _ _
Signature:_ _ _ _ _ _ _ _ _ _ _
Please pay to Barclays Bank, Monmouth, (20-00-85) PO Box 29, MONMOUTH NP5 3YG for the credit of British Earth Sheltering Association, ac.no. 70201367 the sum of £_ _ _ _ _ _ on receipt of this order and thereafter £_ _ _ _ _ _ (_ _ _ _ _ _ _ _ _ Pounds) on the same day each year until countermanded by me.
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