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Bournville Radio Sailing and Model Boat Club

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BRSMBC Membership form

Membership year*

Last name*

First name*

Email*

Birthday*

Day

Month

Year

Phone*

mobile Phone

Address line 1*

Address line 2

Town*

Post code*

Next of kin Name*

Next of kin contact number*

Next of Kin address*

Membership Type required*

In order to process your membership we need to share your data withthe MYA and or MYA depending on your membership choice

Data Sharing*

BRSMBC 2026

Valley Parkway, Bournville Lane, Birmingham, B30 1QU

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