C:\Users\Roy\Documents\Bridge\Misc\Membership Application 2018-2019.doc MEMBERSHIP APPLICATION 2018-19 At Gosling Sports Park, Stanborough Road, Welwyn Garden City, Herts AL8 6XE Affiliated to the Hertfordshire Bridge Association and the English Bridge Union Surname ...................................... First name **…………………………………… Title Mr./Mrs./Ms./Miss ** please give the first name you wish to be known by at the club, or the one registered with the EBU if you are already a member Address ………………………………………………. …………………………………………………………………… Postcode………………… Contact phone number ……………………………………….. Your EBU Number (if known) ……………………………… Email – PLEASE WRITE CLEARLY ! …………………………………………………………. ** Car registration number[s] …………………………………………………. This is necessary to ensure you are not charged for parking when you visit the Sports Park for Bridge sessions. Please note that Your consent is needed to pass this on and so avoid parking charges – see personal data section below. Bridge Club Membership Fee – see below, applies until 1 st September 2018 Cheques should be made payable to “Welwyn Garden City Bridge Club” ** BACS payments may be made to:- Bank: HSBC Sort code: 40-23-11 Account no. 41057847 Payment reference: ‘Member’ + your surname** Three year membership £25.00 Six year membership £40.00 One year membership £10.00 Paying by ** BACS ? Students (age 18 to 23 in full time education) or Junior (under 18) and persons regularly attending year 1 & 2 tuition classes at the club - No charge Your personal data, Computerised Data Base and Club Website Please refer to details on the reverse of this form before completing the following section: Do you wish your phone number to be included on the club’s website and in the club diary? Yes No # If no, only your name and email will be accessible to other members on the club website and there will be no entry for you in the Club Diary # Only if you have indicated ‘No’ above, will you agree to your phone number being made available to the Chief Tournament Director for the purposes of contacting you in an emergency or in connection with club events you wish to enter? Yes No The Hertfordshire Bridge Association [HBA] keeps a record of our members with their emails only obtained from the EBU. If your email changes, do you agree to changes to be passed on to the HBA ? Yes No If no, you will not be advised of events organised at the club and elsewhere in Hertfordshire Do you agree to your car registration number being passed to GLL Leisure Ltd ? Yes ** No ** If no, you will be required to pay for any car parking when attending Bridge sessions Agreement I agree to the use of my personal data as detailed over the page.. I agree to abide by the Constitution and ‘Rules and Procedures’ of the Welwyn Garden City Bridge Club, to the EBU’s Best Behaviour at Bridge and to accept the Club’s privacy policy. This is available on the Club website at http://www.bridgewebs.com/welwyngardencity Signature ........................................ Date ........................................ Please return this form & fee (in an envelope) via the Members post-box or by post to :- [email protected] Frances Wilson, Hon. Membership Secretary, 31, Valley Road Welwyn Garden City, Herts. AL8 7DH phone: 01707 324639 *** Please ensure any payment to the club is secured in an envelope and placed in the Members’ Post Box. Thank you***