Note: Membership is renewable annually , from the date of joining.
overseas Membership please add £2.00 to fees
Date of membership:
if Renewing please state membership number:
Membership Fees: Business £20.00 Club £30.00 please state which membership.
Forename.......................................Surname........................................................
Club/Business Name
Address which you require to be listed in the "round up" magazine
telephone/email address if you wish to be contacted by intrested parties:
Other Membership fees: Single £12.00 Family £15.00 please state which membership.
Forename.................................................Surname........................................................................
Address.........................................................................................................................................
......................................................................................................................................................
.......................................Postcode...................................................
Please state family members included in the family membership
If you have a western name please write it in here
...........................................................................................................................................................
...........................................................................................................................................................
Cheques or postal orders should be made payable to:
the british westerners association
please send your payment and this form to:
Mrs C.K.Woollard
63 Hodder Avenue,
Chorley,
Lancashire.
PR7 3PH