BritsNîmes New Member Application Form

New Member Application Form

Association’s address: A52 La Porte Romaine, 7 Place Gabriel Péri, Nîmes 30000 Website: http://www.britsnimes.com / Email: contact@britsnimes.com
Name

First Name Last Name
Partner's Name

First Name Last Name
Mobile Number

Country Code Phone Number
Mobile Number

Country Code Phone Number
Nationality
Nationality
Membership Contact Email
example@example.com
Partner's Email
Address

Street Address

Street Address Line 2

Village / Town Post Code

Department
Interests

Culture / Events Walking Dining / Wine Book club Photography Chess Films
How did you hear of BritsNîmes?

Application for Membership for 1 September 2022 – 31 August 2023

(* With effect from 1 July 2022 the new membership rates apply. However, new and re-joining
members will receive the balance of 2021/22 Membership year without charge i.e. for 1 July to 31 August 2022)

Members must respect the Statutes of the Association which are available on request by contacting the Association at its official address.

(L'adhésion implique le respect des statuts à la disposition de l'adhérent au siège de l'Association). This application is subject to approval by the committee.
We would like to join the Association BritsNimes.

We are blanks adults and blank children.
New Joiner or Re-joining Fees
Annual Membership Fee plus Administrative Fee of €10 (frais de dossier, a one-time payment payable at the start of a new or re-joining membership)

Individual €18 + €10 = €28 Family €28 + €10 = €38
Member's Signature and Date (for paper submissions only)

Clear
Please indicate your preferred payment method:

Electronic Bank Transfer/Virement (Our preferred method) IBAN: FR76 1350 6100 0008 7491 9100 138 - BIC : AGRIFRPP835 Please add your “last name” in the beneficiary reference area and send an email to nigel@britsnimes.com to confirm payment by electronic transfer. PayPal If you would like to pay by PayPal, please send an email to nigel@britsnimes.com who will send you an invoice.
Disclaimer

The term Event(s) in this Disclaimer is any group activity and related travel organised, undertaken or provided by the Association, and/or outside suppliers in its name. Participants in any Event do so at their own risk to themselves and their property, and it is their responsibility to have the necessary insurances. No responsibility is implied or taken by the Association during Events for; Participants’ accident, sickness and/or third party liability; nor for negligence on the part of other Participants and/or any person working on behalf of the Association; nor for inaccuracies of information in Invitations or Notices; nor for changes to itineraries, level of difficulty, cancellations, and/or other changes, which may be made without prior notice; nor for damage to or loss of Participants’ own or third parties’ property, including vehicles; nor for any other liabilities and/or risks arising in association with an Event. By joining an Event, participants are deemed to have agreed to the terms and conditions in this Disclaimer, and they and/or their representatives agree to exonerate and waive any subrogation towards the Association and/or its Event Coordinators, and/or other Participants, for any liabilities and/or claims that may arise from participation in an Event
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