Title Mr Mrs Miss Ms Dr First name Last name Address   Town County Postcode Country Phone Number Email		Date of birth (Junior Members 16 and under) Date   MEMBERSHIP FEES Full member £25.00 pa Junior member £10.00 pa European member £35.00 pa Overseas member £40.00 pa     Family (2 Adults, 2 Children) £40.00 pa Partnership £37.50		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?
	SENDING THIS DATA Either press the 'Submit Application' button below (you will be asked for your credit card details) or click here to print this page and send with a cheque payable to BWA to: BWA Secretary, Mrs S Schubert, PO Box 163 OXTED RH8 0WP. tel: 01892 740212