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M E M B E R S H I P a P P l I c a t I o n f o R M - Brittany Ferries

M E M B E R S H I P a P P l I c a t I o n f o R M - Brittany Ferries

M E M B E R S H I P a P P l I c a t I o n f o R M - Brittany

M E M B E R S H I P a p p l i c a t i o n f o r m Please tick your chosen level of membership: France membership ■ France & Spain membership ■ Y o u r D e t a i l s : O p t i o n a l P a r t n e r ’ s C a r d ( i f r e q u i r e d ) : Title: Initial: Surname: UK Address: Supplement of £25 (France Membership) or £50 (France and Spain Membership) required Title: Initial: Surname: Address (if different): Yes ■ (see conditions) Postcode: Home telephone number: Mobile number: Email address: Please enter email address if you are happy to receive information via email from Brittany Ferries Home telephone number: Mobile number: Postcode: Overseas Address: Email address: Please enter email address if you are happy to receive information via email from Brittany Ferries Telephone: Telephone: P A Y M E N T : I wish to pay by credit card ■ debit card ■ (tick as applicable) I authorise you to charge my (name of card) the relevant fee. France Membership £125 ■ France & Spain Membership £200 ■ + £25/£50 supplement if Optional Partner Card details are completed Card number Expiry date Signature: ■■■■ ■■■■ ■■■■ ■■■■ ■■■ ■■■■ Issue number (Debit Card only) ■■ Date: If you do not wish to be sent information on Brittany Ferries products, offers or property letting services, please tick box ■ Complete this form and return it to us at: Property Owners Travel Club Freepost PY 1481 Millbay Plymouth PL1 1BR

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