BORDER UNION AGRICULTURAL SOCIETY

APPLICATION  FOR  MEMBERSHIP  2012

I   /   We   wish to apply for the following Membership  :

Membership Number/s  ……………………………………………………
	(4 digit number printed on all letters above address)

Tick the appropriate box below.

			
Individual              @ £30.00 inclusive of Vat at 20%	

Family                   @ £70.00 inclusive of Vat at 20%
(Only children under 18 years on 1st January are eligible). 
Please provide the names and date of birth of all children below.		

Life Membership  @ £750.00 inclusive of Vat 20%

	

Name(s) of Applicant(s) (Including birth dates (not ages) of children for family memberships.)

(Please print clearly)

……………………………………………………………………………………………………………….. 

………………………………………………………………………………………………………………..

………………………………………………………………………………………………………………..

Address  :  ………………………………………………………….……………………………………….

…………………………………………………………………………….Postcode……………………….

My  /  Our   Remittance of £……………..   is enclosed
(VAT Registration Number : 268 - 6607 - 20 )

Signed  ……………………………………………… 

Please return to :  B.U.A.S., Springwood Park, Kelso TD5 8LS.