Membership Application form
 
Membership Fee £10.00 annually
Please complete and send your cheque made payable to PRBA to:

Lesley Beckwith
Manor Barn
Skewsby
York
YO61 4SG

or, if you prefer a paper-based process, click here
(* are minimum details required)
  First name Surname
* Your Name:
Other family members' names:
 
 
 
 
Address:
Town:
Postcode: County:
* Home tel:
Business tel:
Mobile:
* Email: 
Balloon details (if applicable):
Manufacturer:
Size/Type:
Reg:
Artwork:
Colours:
Balloon name:
Type of Pilots Licence: PPL CPL PUT None
Other qualifications: Examiner: Instructor: Inspector: Observer:

Available to Crew:
Yes: No: Vehicle Driving Licence: Yes: No:
It would help if we could send you eNews bulletins and our newsletter, 'SCOOP' by email. Please check the boxes below to accept:
  eNews Bulletins: SCOOP:
  Please answer the following question to validate the form...
(anti-robot). 
Does hot air rise or fall? *


Data Protection Act: Please note the above information will be stored on computer, if you have any objection to this please state

 

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