B.R.G.S.MEMBERSHIP
APPLICATION FORM
NAME:______________________________________________
ADDRESS:___________________________________________
_____________________________
______________
___________________________________________
I wish to apply for membership of the B.R.G.S. Inc.
Enclosed is full payment consisting of an initial joining fee of
$5.00
and yearly membership fee of
$20.00 Single Membership
or
$25.00 for a Family Membership
Total enclosed being $_______________
Please make cheques or payments to B.R.G.S. Inc. and we look forward to having you
as a member.
Signed: ___________________
Date: ______________