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Application Form

Application for membership of Bristol Music Club

Please complete this form and send it to the Membership Secretary, Brian Burdock, 42 Rodbourne Road, Bristol BSIO 5AS.  (phone 0117.942.1982), email: brianburdock@blueyonder.co.uk  for approval by the club committee.
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, place indicate your instrument or voice –

………………………………………………………………………..……

I agree that the above details can be stored on the Bristol Music Club Database address list, and for that list to be publicly displayed.

(If applicable). I have read the latest revision of Club document ‘Using the Club for Practice – Guidance Notes’, and agree to abide by them. Failure to do so may result in my membership being terminated without return of any money being paid.

Signed……………………………………….Date…………………………..

Proposed by……………………………………….
Seconded by……………………………………….
Key Deposit (if applicable)………. Key Number (if applicable)…………..

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