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CLUB AGM WEDNESDAY 26th OCTOBER
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Membership Application form
 
Membership Fee:  Social membership £15.00 annually. 
Any member flying in the club balloon is required to pay
an additional annual fee of £25.00.  Family membership
is also available for £18.00.
Please complete the form and send your cheque made payable to LRBBAC to:
Graham French
20 Grimwood Road
Twickenham
Middlesex
TW1 1BX
(* are minimum details required)
Membership Type: Social: Family: Flying: Fees due: £
  First name Surname
* Your Name:
Other family members' names:
 
 
 
 
Address:
Town:
Postcode: County:
* Home tel:
Mobile:
* Email: 
Balloon details (if applicable):
Manufacturer:
Size/Type:
 Reg:
Artwork:
Colours:
Balloon name:
Type of Pilots Licence: PPL CPL PUT None
Other qualifications: Examiner: Instructor: Inspector:

Available to Crew: 		Yes: No: Vehicle Driving Licence: Yes: No:


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