Application for Membership 2012
Chinese Brush Painters Society

Please print this form, then complete it and and return it to the Treasurer by normal post

Mary Flint, 30 Blackmile Lane , Grendon, Northampton, Northants NN7 1JR

I/We wish to join the Chinese Brush Painters Society for 2012 (Please use BLOCK CAPITALS and delete as necessary*)


Full Name (Mr/Mrs/Miss/Ms*) ...............................................................................................................

Address..............................................................................................................................

Postcode .............................................................

Tel.No. (including STD code)...............................

e-mail address.....................................................................................................................

Signed......................................................................

Please find enclosed payment of ..........................................................(See membership rates below) (Please make cheques payable to “Chinese Brush Painters Society”. Do not send cash.) _______________________________________________________________________________________________ How did you hear of us? .............................................................................................................................................
If you have ever had CBP lessons, who was your tutor? .................................................................................. .............
Are you already in contact with a group of CB painters? Yes / No* If “Yes” name of group?............................................................................ .................................................................................. ..........
If “No” would you be interested in joining a group? Yes I No* (*Please delete as necessary) ______________________________________________________________________________________________ DATA PROTECTION ACT To avoid having to register our Unincorporated Society under the above Act, we need the permission of each member to retain their name, address, postcode and telephone number as data stored on our computer database. The Officers, Newsletter Production Team and Video Librarian need this information to inform you of meetings, send out notices, membership cards, newsletters, videos etc. (You realise that the above workers are all voluntary and appreciate any labour saving devices!) This data will only be used for the efficient running of the Society and will not be given to any person outside the Society. As soon as membership ceases the information will be erased from our database. Your assistance in this matter would be much appreciated. Please enclose a signed, written request if you do not wish your records to be kept on the database.

2012 Membership Rates
UK Residents Individual membership £24.00        Double membership £26.00 (2 adults at same address)
E.U. Residents Individual membership £27.00*
Rest of World Individual membership £31.00*

* Payment in £ sterling please