Registration

Section A - Personal Details

• Forename *
• Surname *
• Title *-- Select --MrMrsMsDr
• Address *
• Town *
• County *
• Postcode *
• Telephone *
• Email *
• Date Of Birth *
• Which is your closest Club or which Club do you think you will use most often? *-- Select --Bush HouseElstreeTelevision CentreWest OneWhite CitySalfordLancashire
• How did you hear about the Club?-- Select --Recommended By A FriendReceived An EmailSaw A PosterUsed To Be A MemberArticle In ArielThrough GatewayPa NetworkAt A Road ShowStaff InductionFacebookTwitterOther
• Why would you like to join the Club?-- Select --SocialFitnessTo Save MoneyFree Radio TimesTo Do A CourseTo Join A Connect ClubOther

Section B - Employee Status

If you are a BBC, BBC WW, JCI, Red Bee Media or 2 Entertain employee you will be eligible to pay for your membership by payroll deduction. If you are a freelance contractor or employee of a BBC partner not listed above you will be required to pay your membership by direct debit.

• Please state your employment status with BBC *-- Select --BBC payrollRedbee Media payroll2 Entertain payrollJCI payrollAny other BBC partner employee payrollFreelance ContractorRetired BBC employee (Pension payroll)Retired BBC employee (non-pension)Family of any of the above

Section C - Type of Membership

If you would like more information on each membership type please find out more here.

• Please select which membership you would like to subscribe to. *-- Select --Full MembershipYoung At Heart MembershipFriend & Family MembershipAffiliate Membership

If you would like to add any additional memberships please select here:

• Gym Membership

  Gym Membership (all)

  Gym Membership (elstree Only)
• Lottery

  Lottery - 5 Shares

  Lottery - 10 Shares

  Lottery - 15 Shares
• For the terms and conditions of the lottery, click here.
• If you would like to join a Connect Club please select which one(s).

  Flying £55 until 31 March 2012.

  Snowsports £17 until 31 March 2012.

  Sub Aqua £45 until 31 March 2012.

  Canal Cruising £12.50 until 31 March 2012.

  Gliding Club £50 until 31 March 2012.

  Yacht £35 until 31 March 2012.

  Riding £25 until 31 March 2012.

  Film £20 until 31 March 2012.

  Golf £45 until 31 March 2012.

  Players £5 until 31 March 2012.

  Netball £25 until 31 March 2012.

  Music FREE.

  Rambling £4 until 31 March 2012.

  Photography £15 until 31 March 2012.

  Rifle £25 until 31 March 2012.

  Running £12 until 31 March 2012.

  Radio Theatre £10 until 31 March 2012.

  Sailing £84 until 31 March 2012.

  Wine and Beer £8 until 31 March 2012.

  Spice Activity Club £6 per month.

  Prospero £7 until 31 March 2012.

Section D - Terms & Conditions

• I agree to abide by the terms and conditions of membership *