Club Membership

Bluebird Supporters Club - membership application form

Name: .................................................................................... Membership Type Required...........................

Address: .............................................................................................................................................

............................................................................................... Postcode..............................................

Tel No: ...................................................... Email: .............................................................................

Family member Names: ................................................................................. Age (children): ....................

Signature: .................................................. Date: ..................

Please make cheques payable (UK Sterling only please) to BSC
Send completed form to Bluebird Supporters Club, PO Box 15, Wallington, SM5 1ZX, UK.