BROADLAND SUN ASSOCIATION
LIMITED
31 Brickle Road
BN Reg. No
NR14 8NG
broadlandsun.co.uk
Please reply to:
The Membership Secretary, c/o Broadlands-address as above
Tel: 01493 732395 Email:
MEMBERSHIP APPLICATION FORM
Date of Application………………………………… Date Accepted / Refused …………………………………………
Title Surname Forename Known As Date of Birth Relationship to Applicant 1.
1------
2. ………… ……………… … ……………………….. ……………… ……………… …………………………….
3. …….. ………………………… ………………………….. ……………… ……………… …………………………….
4. …….. ………………………… ………………………….. ……………… ……………… …………………………….
5. …….. ………………………… ………………………….. ……………… ……………… …………………………….
6. …….. ………………………… ………………………….. ……………… ……………… …………………………….
Postcode…………………………… Home Phone No ……… Mobile No ………………………. .
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Email… …………………………………………………………… Are you happy to receive club correspondence via email?
BN Membership No’s. … ……………………………………………………………………………………………………
Applicant 1 Profession and skills…
…………………………………………………………………………………….
Applicant 2 Profession and skills
………………………………………………………………………………………….
If sole applicant. What is your marital status …………………………………………………………………………….
If you have been a member of a naturist organisation, please give the organization name and membership dates.
…Previous member of BN and member of
……………………………………………………………………………………………………………………………….
Have you ever been excluded from or refused membership to any naturist organisation? No
(if yes please give details)
………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………….
/ BROADLAND SUN ASSOCIATION L Ll LTD LTDHow did you find out
about Broadlands
… …
. / Any further relevant information
i
Declaration
I wish to become a member of Broadland Sun Association Ltd and hereby declare that I am fully aware of its aims and
activities. I further declare that this application is entirely voluntary on my behalf and if accepted I agree to abide by the
rules of the association and engage in its activities. I undertake not to disclose information regarding the members of
the
association. I confirm that the information I have provided above is true and accurate to the best of my knowledge.
Signature of each applicant aged 16 years and over.
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Current passport photographs of each applicant aged 16 years and over.
Please provide two photographs
One of your photographs will be displayed on notice board for trial period
Please attach photographs here