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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