OBs Membership Form

Page 1

OLD BRISTOLIANS’ SOCIETY Membership of the Society is open to past pupils and to teaching staff past and present of Bristol Grammar School. The current standard subscription is £12.50 per annum, payable by Direct Debit, for which a form is attached. Subscriptions are payable at the time of application.

I apply for membership of the Old Bristolians' Society:Name in full (capitals)…………………………………………………………………………………… Profession. ………………………………………………………………………………………………. Careers Advice: would you be willing to join our network?……………………………… Could you offer any other help to the Society? (E.g. committees, regional meetings/dinners, contacting other OBs) …………………………………………………………………………………………………………….. ……………………………………………………………………………………………………………. Address (capitals)…………………………………………………………………………………………. …………………………………………………………………………………………………………….. Postcode………………….

Tel/fax……………………………………………………..

Email……………………………………………………………………………………………………… (N.B. It is most important that members should notify the O.B. Office immediately of any permanent change of home address or email address.) Years of entering and leaving B.G.S.*…………………..House at time of leaving*……………………. Relatives, if any, attending B.G.S.*……………………………………………………………………… *This information may be omitted if desired. I consent for the purposes of the Data Protection Act 1984 to data about myself being held electronically in the Society's membership records.

Signature…………………………………………………Date………………………………………..

On completion, together with your completed direct debit form, please return to the Membership Secretary, The Old Bristolians' Centre, Bristol Grammar School, University Road, Bristol BS8 1SR. Tel/fax 0117 923 7037, e mail obs@bgs.bristol.sch.uk


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