For those of you wishing to join the BHAA Team.
BHAA Membership Application Form
Employer: _MIDLETON TOWN COUNCIL
Address: THE LODGE,
Team Secretary:_Edmond O’Sullivan
Address:__Glaramara, Suncourt, Midleton.
Contact Telephone Number:__086/8323267
Telephone Number: (home)________ (work)_021/4632901
Date of Birth:______________
Category:( please tick) Ladies_____Men_____
Veteran 0/35.... 0/40.... 0/45.... 0/50.... 0/55.... 0/60.... 0/65.... 0/70....
I __________________wish to apply for full membership of the Business Houses Athletic Association for the membership year 2019. I confirm that I am an employee of the above named employer. In applying for membership, I agree to be bound by the rules of the Business Houses Athletic Association.
Membership fee of €10 (full membership) is enclosed.
Cheques & Postal orders should be made payable to Cork BHAA (Please do not send cash through the post).
Note: The Business Houses Athletic Association reserves the right to obtain confirmation of employment.
Please send the completed form and cheque or postal order( NO CASH) to -
Kevin Cummins, 24,
Ashleigh Drive, Skehard
Blackrock, Cork Telephone: (021) 429 2509 (021) 429