Blackburn Referees Association Membership Application Form for Season 2009 / 2010

Please complete and submit this form online.  Alternatively print it off and return to the Treasurer to the following address before 31st March: 

Mr John Lilley
16 Kentmere Drive
Blackburn
Lancashire
BB2 5HF

Telephone 01254 209686

Email japlilley@gmail.com

Please download and complete. Send your membership form and fee by post to the secertary, we do not have the facility currently to pay electroniclly.

The minimum age requirement to join the Associations 100 Club is 18 years.  Members of the 100 club need send no money now but must complete an enrollment form for each new season.  Membership includes membership of the National association and its’ insurance scheme. This expires each year on 31st March.

A Full membership fee is £15, and an Associate membership fee is £6.00