Membership Application (USA & Canada)
(Non-US/Canadian residents click here)

Please print and complete the form below and send to:- Steve Bliven
49 Plains Field Drive
South Dartmouth, MA 02748-1442, USA,
enclosing a cheque or postal order (payable to "The Bagpipe Society") for the fees due (US dollars only please).

Membership (individual or family)	New Member $30.50 for the first year Renewal $27.50*
Membership (student or retired)	New Member $17.00 for the first year Renewal $14.00*

*Members in the USA and Canada must also pay an additional mailing charge of $15 for airmail or $5 for surface mail. Please include the appropriate amount with your membership payment.

Names (all joining members)	.
Address (including post codes/Zip codes)	.
Telephone	.
E-mail	.
Bagpipes played	.
Other Instruments	.
Interests	.
Bands/Duos.etc.	.

May we publish the above in a directory for members? This is sent only to society members.	Yes	No
May we keep the above details on a computerised file (this is solely for use by the society in maintaining its membership records, producing mailing labels and producing the membership list)?	Yes	No

The Bagpipe Society is a non-profit making organisation established to assist like-minded enthusiasts. The rates stated above are minimum only and donations in excess will be gratefully received (either on joining or at any time).

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