Application Form

Name____________________________________________________

Address___________________________________________________

_________________________________________________________

_________________________________________________________

Post/Zip Code______________________________________________

Telephone number___________________________________________

Fax number________________________________________________

How long have you been collecting?

What do you collect in particular, make, etc?,

Payment can be made via Visa or Mastercard, cheque, or postal order. 
(please ask for details of standing order arrangements)
Please quote credit card number and expiry date.
Cheques payable to 'BWCCA' please.
Details of subscription charges as per following page.

and e-mail to     tony_woolven@compuserve.com