BAJ Membership Application

First name

Last name

Email Address

Phone

Where did you hear about the BAJ?

Date of Birth

Day

Month

Year

Multi-line address

Country/Region

Address

City

Zip / Postal code

Membership Joining Fee £17.50 in addition to One Months or Part Thereof Subscription.

Staff Regional £16.00

Freelance £11.50

Staff National £18.25

Are you a member of any other Trade Union? If yes please state name.

BANK NAME / NAME of ACCOUNT HOLDER / SORT CODE / ACCOUNT NUMBER

Your nominated bank must be in the UK unless you elect to pay yearly by Credit Card.

Date of Application

Day

Month

Year

Electronic Data Processing of my data for my membership application.

Single choice

I agree to Electronic Data Processing.

I disagree to Electronic Data Processing.

Upload Passport Style Photograph

Evidence of Published Work

Evidence of regularly published work which is directly credited / Attributed to you, the applicant.

Proof of ID - Passport/Driving Licence

Must provide one Govt ID and copy of Utility Bill / Bank Statement Showing current address.

If you are joining with an existing legal matter we require payment of six months’ membership subs as back pay which will be invoiced.

I do not have / I do not have an ongoing legal matter that will require the assistance of thge BAJ Solicitor

Yes I do

No I do not

Signature

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