Title:

First Name:

Surname:

Address:

Town:

County:

Post Code:

Over 18:

Yes
No

Date of Birth:

Tel Number (inc STD Code):

Email address:

Are you happy to receive Newsletters by Email:

Yes
No

Do you hold any BMFA or other model flying Certificates:

Yes
No

If yes which ones do you hold:

What channel do you fly on if you use 35mhz:

BMFA No (if applicable):