Membership Application Form
 

Please fill in what is relevant and send your subscription (£12.00 single, £15.00 family)
to the Treasurer, Ray Owen, 1 Oak Avenue, Standish, Wigan, WN6 0EA.
Cheques should be made payable to "NWBAC"
Please contact any of the club officers on the home page for further information.

* Denotes mandatory fields.

  Forename * Surname  
Name Address:

Town:
County:
Postcode:
Country:
Family members
 
 
 
  Type of Membership requested: Single Family
       
  * Telephone: home Telephone: work Telephone: mobile * Email address
 
       
  Balloon Pilot?
..if so .. PPL CPL .?
LOR certificate no:
 Other ballooning qualifications
 

Balloon name:

 Type / Size:
 Balloon manufacturer:
 Balloon registration:
  Please answer the following question to validate the form...   (anti-robot).  Does hot air rise or fall? *