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Application for Membership of the British Federation of Women Graduates - BFWG
SECTION 1: MEMBERSHIP
Please tick one option in the line belowIf completing this form electronically, copy and paste to show your options
I am joining as a member of the Local Association named below:
I am joining as an Independent member associated with the Region ticked below:
……………………………………….. Association
Northern Eastern
Mercia, Wales & West
Category of Membership
See Section 6 for cost of subscription
Please tick one option below
OrdinaryJuniorAffiliate
5-yearRe-joiner
If Junior please give anticipated date of 2nd degree (if applicable).
Please tick here if in receipt of
Scholarship Trust award in year of joining
SECTION 2: PERSONAL & CONTACT DETAILS –
Please refer to the BFWG Privacy Policy: https://bfwg.org.uk/bfwg2/privacy-and-cookie-policy/
Title (Dr/Prof/Ms etc.)
Forename(s)
Surname
Known as (if different)
Date of birth
Address
Postcode
Tel no (home)
Tel no (work)
Tel no (mobile)
E-mail address
SECTION 3: EDUCATION
First degree
Year of graduation
Awarding Institution
Subjects
Post-graduate degree(s)
Year(s) awarded
Awarding Institution(s)
Subjects
SECTION 4: QUALIFICATIONS AND OCCUPATION
Professional qualifications
Other qualifications
Occupation. If retired, indicate and state previous occupation.
SECTION 5: FURTHER INFORMATION
(Optional – you are invited to specify areas of special interest or expertise to BFWG)
How did you hear about BFWG?Website Personal recommendation Other
SECTION 6: FEES
Introductory joining fee for an Ordinary member in her first year -£40
Subscription for second and subsequent years -£57
Five-year membership -£270
Junior member (postgraduate students and up to two years after graduation) -£40
Affiliate membership (for members of other International Federations) -£40
Scholarship Trust award winner - first year fee waiver- £nil
Some Local Associations charge a small additional local fee, to be paid locally.
SECTION 7: RETURNING THIS FORM AND MAKING PAYMENT
· To join as a member of a Local Association: return your completed form to the Membership Secretary or Treasurer of the Local Association named in Section 1 with your cheque made payable to BFWG , e.g. BFWG Winchester Association;
· To join as an Independent member:
(a) return your completed form to the BFWG Office with your cheque made payable to BFWG; or
· (b) email the application form to [email protected] and pay your subscription fees online by PayPal or
Online: sort code 50 – 21 – 01; account number 66725852; bank: Nat West, Clapham Junction branch. Ensure you enter your name in reference so we can match payment.
I have paid £ by Cheque PayPal Bank Transfer
(please fill in amount paid and tick to indicate payment method as appropriate)
PayPal Reference:
Signed:
Date:
Please tick to confirm agreement to the British Federation of Women Graduates Privacy Policy
FOR BFWG ASSOCIATIONS USE ONLY
Date form received
Date local information sent
Date copy sent to BFWG Office
This form can be downloaded from www.bfwg.org.uk and completed in WordTM
The above details are held on the BFWG database in accordance with the Data Protection Act
BFWG HQ, 4 Mandeville Courtyard, 142 Battersea Park Road, London SW11 4NB
Email: [email protected] • Website: www.bfwg.org.uk