Application Form

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Please complete this form and send it to the Membership Secretary, Brian Burdock, 42 Rodbourne Road, Bristol BSIO 5AS.

Application for membership of Bristol Music Club

I/we apply to be elected a City/Country/Junior member/s of Bristol Music Club, and agree to be bound by the club rules.

Name:_______________________________________.
Address:
_______________________________________.
_______________________________________.
Postcode: _______________.
Phone: __________________.
Email: __________________.
If you play or sing, please indicate your instrument or voice –
_____________________________________________________________.
I have read and agree with the Bristol Music Club Privacy Notice relating to the 2018 General Data Protection Regulation.

I agree to receive all Club communications by email.
Signature:______________.
Date:______________________.
Proposed by: ______________.
Seconded by: ______________.
Key Deposit (if applicable): ______________.
Key Number (if applicable): ______________.