Membership Application

Please complete the form below

Name *
Name
Phone
Phone
Address *
Address
Checkbox
Date started School
Date started School
Date left School
Date left School

You can also download a pdf version of this form here.

 

Life membership of the Society is available at the following rates:

Under 30 £200

30-40 £150

41-50 £100

51-60 £80

61-70 £60

over 70 £40

Please transfer the relevant amount to:

Old Birkonian Society

Sort code 40-25-08

Account number 81375938

with reference ‘membership’.

Or send a cheque payable to the ‘Old Birkonian Society’ to OBS, The Lodge, 59 Beresford Road, Oxton, Wirral, CH43 2JD.