Membership Checkout - British Spearfishing Association

Declaration & disclaimer

I hereby declare that the information I have provided below is accurate and that I agree to abide by the rules, codes and guides laid down by the B.S.A at all times. I understand that Spearfishing, Snorkelling and Free-diving are all activities that involve an element of risk. In signing this application form, I accept all responsibility and all liability for my own safety.

Membership Information

You have selected the Automatic Renewal: BSA National Member (South West Wales Club) membership level.

AUTOMATIC RENEWAL:
This subscription will automatically renew on the same date each year until cancelled (or details change).
Includes Membership card with Insurance details & can enter nationals, Float number, All Email groups, and membership to your chosen regional club (if applicable).

The price for membership is £40.00 per Year.

Account Information

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Password

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First Name

Last Name

Email Address

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Address line 1

Address line 2

Address line 3

Postcode

Float number

If existing National member

Mobile number

Alternative phone no

Date of birth

Next of kin

Next of kin phone

Phone number for your next of kin

Would you like to be contacted by your BSA area club rep?

Please take my typed name to constitute my electronic signature.

Type your full name. By signing this form electronically, you are agreeing to the Declaration and Disclaimer at the top of the form.

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British Spearfishing Association

Payment Information

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Expiration Date

CVC

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