British Tenpin Bowling Coaching Association
Membership Application

Full Name:___________________________________________________________

Home Address:_______________________________________________________

____________________________________________Post Code:______________

Telephone Numbers: Home______________________Mobile____________________

E-mail Address:________________________________________________________

BTBA (or National Association) Membership Number:________________

Current Qualification Phase:___________

Where and when did you pass your current Phase:______________________________

Centre/s where you normally Coach________________________________________________

I agree the above information may be retained on a computer system for administration purposes only. Membership lists will not be sold, these details will only be given to BTBA and our Insurers.

Applicant's Signature:_______________________________Date:____________

Membership Fees - £20.00 per annum (United Kingdom; Isle of Man; Channel Islands). £10.00 per annum elsewhere. Cheques/Postal Orders to be made payable to BTBCA

Please send this Application form and your payment to:

B.T.B.C.A. 49 Sandyfield Crescent, Waterlooville, Hants. PO8 8SG
____________________________________________________________
For office use only