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 - Lessons 1 to 20Next Steps - Lessons 21 to 40Improvers - Lessons 41 to 60

Please choose a First Steps session.*

Lessons 1 - 10 on Wednesday at 7.00 pmLessons 11 - 20 on Friday at 10.30 amLessons 11 -20 on Monday at 7.00pm

Please choose a Next Steps session*

Lessons 31 - 40 on Tuesday at 1.30 pm

Please choose an Improvers session.*

Lessons 41 to 50 Monday at 10.00 amLessons 41 to 50 Thursday at 7.00pmLessons 51 to 60 Tuesday at 7.00pm

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 £100 for an adult or £50 for a Junior (Under 26)

Please send your cheque to:

Melville Bridge Academy

1 Pinkill

Edinburgh EH12 7BA

Please Pay £100 for an adult or £50 for a junior (Under 26)

I am making a payment for*

an Adult

£100.00

A Junior (Under 26)

£50.00