BWA: Membership application form

On Line membership application form

You may use this form to apply or re-apply for membership of the BWA through the secure Worldpay credit card facility. Fill in the form and click on the 'Submit Application' button. Alternatively, you can apply by phone quoting your credit card number, to 01732 867 987, or download a form for postal application by clicking here.

Please note The telephone number of the BWA secretary is now 01732 867 987, not as shown in the form.

You may cancel by contacting the BWA secretary within 7 days.

Date
Title
First name
Last name
Address

Town
County
Postcode
Country
Phone
Email
Date of birth
(Junior Members 16 and under)

MEMBERSHIP FEES
Full member	£25.00 pa
Junior member	£10.00 pa
European member	£35.00 pa
Overseas member	£40.00 pa
Couple	£37.50 pa
Family (2 adult, 2 Children)	£40.00 pa

Gift Aid donation Please read information below before ticking

YOUR SPECIAL INTEREST

Please fill in the details below to help with our records.

I am interested in Domestic Waterfowl

I am interested in Wildfowl

How did you hear about the BWA?

Do you belong to other associations?

Would you like to talk to someone in your area?

Do you have a specific question you would like answering?