PROVISIONAL APPLICATION FORM FOR MEMBERSHIP OF
Date of Birth:
details of your Buteyko training/background:
Number of years in practice:
Approximate number of clients trained:
hereby apply for provisional membership of the BBEC Register and accept that final approval of my membership will be
the responsibility of the elected BBEC council members.
I enclose a cheque for £75
(£100 after 1/9/2014) made payable to "BBEC Ltd" as payment for membership fee for the first year or I shall
pay by BACS (Bank A/C detail: Co-operative Bank, PO Box 250, Delf House, Southway,
WN8 6WT BBEC Ltd. Sort Code: 08-92-99 A/C No. 65557307)
If for whatever reason the membership
committee does not accept my application I understand that I will receive a refund of £50.