Application Form

Bruton Art Society  NEW MEMBERSHIP APPLICATION FORM

Please complete this form and send it with a cheque, payable to “Bruton Art Society”   to the Membership Secretary:
If you do not use cheques please contact for BACS details.
On receipt of this form and payment you will receive the programme card in the post.(Membership runs for a calendar year but if you join during or after BAS ‘Annual Exhibition’ in August your subscription will cover you for the following year).                  

Dorie Peat     (Membership Secretary) Bowdens Farmhouse, Kington Magna, Gillingham, Dorset SP8 5EE
Tel: 01747 838217 mo 07981 866678
email doripeat@nullbowdensfarmhouse.co.uk 

————————————————————————————————————–                                                                             

Full Name ___________________________________________Title _______
Full Name ___________________________________________Title __ _____
Address ___________________________________________________________________________________________________________
Post Code_______________________Tel: ____________________________

Email (PRINT PLEASE).____________________________________________________

Do you plan to enter artwork at BAS Exhibitions?    1.     YES ______  NO ______
2.    YES ______  NO ______

MEMBERSHIP (please tick)       Single   £15   ______   Joint     £25    ______

Signed_______________________________________ Date_________________________