Using this form you can pay by:

Direct Debit
Credit/Debit card
Cheque
Bank transfer

Downloadable Application Form

Online Application

You can either complete the online form below, or return a completed pdf form.

Personal Details

All Fields marked * are compulsory

*Title:
*First Name:
*Surname:
Gender:




Company/Organization:
Department:
*Address:


*Town/City:
*Postcode/Zip:
County/State:
*Country:
*Contact Telephone:
Fax:
*Email:
Please tick if you do NOT wish your contact details to be published on the website

Membership Category
*Category		GBP
	BSCB Individual Full	35.00
	BSCB Student	15.00
	BSCB School Teacher	15.00
Note: Retired members must provide confirmation of their status in writing to: BSCB Administrative Office, c/o Portland Customer Services, Commerce Way, Whitehall Industrial Estate, Colchester, CO2 8HP, UK

SUPPORTING MEMBER DETAILS (This information will be used to request a reference from a supporting member.) If you do not have a supporting member, you must upload a copy of your c.v.
Supporting Member (A Full member of the Society)
Name:
Email address:
Membership No (if known):

Upload new CV File (pdf or Word document)

Contact Email: BSCB@portland-services.com