MEMBERSHIP APPLICATION/RENEWAL

PLEASE WRITE IN BLOCK LETTERS

Office Use

Ref:

Family name:

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First names:

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Address:

County/State

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Country

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Post/Zip code

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Telephone No:

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E-mail:

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Fax No:

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How did you hear of the Globetrotters Club?

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The following information is published in the membership list to help you to find Globetrotters of similar age group and interests. Tick the box to have this information excluded from the list.

Date of Birth:

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Occupation:

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Interests (maximum 3 please):

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Please list any places you have visited about which you would be willing to give information:

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		Yes
Would you be willing to:	- advise members on your own country/area?
	- give members a welcome and show them your area?
	- provide accommodation for a night or two?
Would you be interested in attending a new local branch?
Would you be interested in forming or helping to form a new local branch?

FEES
All subscriptions take postage and bank charges into account, run for a calendar year(s) from the date of joining and can cover two people at the same address.

	UK	Worldwide
1 year	£15	£18
2 years	£28	£34
3 years	£39	£48
Cloth Badge £2	Metal Lapel Badge £2	PVC car window badge £1

Students can claim a reduced rate of £12.50 (UK) or £15.50 (Worldwide) per annum on production of proof of student status

Please pay by

cheque or money order (eg. Moneygram) in Pounds Sterling, all made payable to the Globetrotters Club
enter your credit/debit and details below.(Debit/Credit cards will be billed in Pounds Sterling and your bank will convert this to your local currency)
if you wish to pay by electronic funds transfer, please contact us for details

I enclose/bill me for: ............... Signature: ....................................... Date: 7 Feb 2012

Return to: Membership Secretary, Globetrotters Club, BMC/Roving, London, WC1N 3XX, England.
Information supplied on this form is data protected and will only be available to members of Globetrotters club.