North West Balloon and Airship Club

North West Balloon and Airship Club

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Application for Membership

Please print, complete, and return with your cheque made payable to NWBAC to:

Derek Grimshaw,
7 Whitehead Drive,
Croston Meadow,
Leyland,
PR26 6QY

or, Transfer via internet banking to:- NWBAC
Sort Code:- 77-76-08
Account Number:- 36241760

Name:
Address:

Postcode:
Home tel:
Business tel:
Mobile:
Email:
Balloon Type:
Manufacturer:
Size/Type:
Artwork:
Colours:
Ballooon Name:

Type of Membership requested: Single (£12 p.a.) Family(£15 p.a.)

Type of Pilots Licence: PPL CPL PUT

Available to Crew: Vehicle Driving Licence:

Membership Fee: Single - £12.00 annually; Family - £15.00 annually

Data Protection Act: Please note the above information will be stored on computer, if you have any objection to this please state

Please print, complete, and return with your cheque made payable to NWBAC to:	Derek Grimshaw, 7 Whitehead Drive, Croston Meadow, Leyland, PR26 6QY
or, Transfer via internet banking to:-	NWBAC Sort Code:- 77-76-08 Account Number:- 36241760