Membership Application Form

Print this form out, complete it in BLOCK CAPITALS, and send it to the address at the bottom, with a Cheque / Postal-Order

for £10.00 made payable to Bristol Channel Repeater Group

* I do / do not object to my membership details being held on a computer for the purposes of B.C.R.G records. * Delete as appropriate

Please send this form together with your remittance to The Secretary BCRG, Mr Brian Wiegold, GW6WTK, 16 Hafan-Werdd, Caerphilly, CF83 3BU For a Standing Order Mandate Email GW6WTK and he will send you one.

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If you want the receipt below returned to you, could you please enclose an SAE thank you.