BAJ Membership Application

Title & First Name and any Middle Name.

Last Name / Surname

Personal / Home Email Address

Mobile / Cell Phone Number

Date of Birth

Where did you hear about the BAJ and what made you want to join us?

Multi-line address

Country/Region

Address

City

Zip / Postal code

Joining Fee £19.00 is in addition to one month or Part thereof subscription before DD is set up. NEW MEMBER OFFER - 12 Months for the price of 11 Months, plus discounted 50% Joining Fee Subjcet To T&Cs

Staff Regional £16.00

Freelance £11.50

Staff National £18.25

One Year Membership Offer

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

Bank Details: 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

Electronic Data Processing of my data for my membership application. If you do not agree to 'EDP' your membership will not be progressed and your application will be rejected.

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.

Two forms UK Govt ID - Passport / Driving Licence / Utility / Council Tax Bill

Must provide one Govt ID and copy of Utility Bill / Bank Statement Showing current address lived at for at least three years.

If you are joining with a known or an existing legal matter we require payment of six months’ back membership subs which will be invoiced accordingly. Plus the Membership Joining Fee & Costs.

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

Yes I do

No I do not

Signature

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