Melville Bridge Academy

Title*

Name*

First NameLast Name

1st Line of Address*

Post Code*

Email Address*

Phone Number*

Area CodePhone Number

What level of class do you wish to apply for?*

First Steps - for beginnersNext Steps - for those who have completed the First Steps courseImprovers - for those who have completed the Next Steps course

Please choose a First Steps (Lessons 11 - 20) session.*

Tuesday at 1.30 pm

Please choose a Next Steps (Lessons 21 - 30) session*

Monday at 10 amThursdays at 7 pm

Please choose an Improvers (Lessons 51 - 60) session.*

Mondays at 7 pmFridays at 10.30 am

I am happy for the MBA to send me bridge class information by e-mail*

YesNo

How will you pay for your lessons?*

By bank transferBy using a debit or credit cardBy sending a cheque

Please use these bank details and put MBA as the reference:

Sort Code 09-01-28, a/c 38493974

Account Name: New Melville Bridge Club Limited

Please pay £90 for an adult or £45 for a Junior (Under 26)

Please send your cheque to:

Melville Bridge Academy

1 Pinkill

Edinburgh EH12 7BA

Please Pay £90 for an adult or £45 for a junior (Under 26)

I am making a payment for*

an Adult

£90.00

a JuniorFor anybody under 26

£45.00

Debit/Credit Card