Membership Form for the Southport and Birkdale Classical Association 23-24
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Are you purchasing a student membership? If yes, please make sure you use your student email address in the previous question. *
Full Name *
Address *
Telephone Number *

GDPR Policy: I give you permission to securely keep and use my details to contact me whilst I am a Southport and Birkdale CA member and I know I can withdraw this consent at any time.

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If there are any other ways in which you think you could offer your skills, support or enthusiasm then please use this space to let us know. Otherwise please move onto the next question.
Please now confirm your membership with a BACS payment of £12 for your annual membership or £5 if you are a student (please make sure you sign up using your academic email address). Please can you put your surname as the reference so that we can match up your payment and your membership form easily. We are gratefully appreciative of any additional donation to the association as we are a Not For Profit Organisation and this will help us keep our fees low for everyone.

Sort Code: 30-99-50
Account No: 19285068

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