First name:

Surname

E-Mail (Pay Pal)

Telephone number

BRCA Number

Abilty level

Class

Meeting/event

Personal Transponder number

Frequency 1

Frequency 2

Frequency 3

Frequency 4

Frequency 5

You MUST have 3 Crystals and a personal transponder. You MUST bring them all to the meeting.
If you have any questions regarding this form or can not provide 3 crystals or a personal transponder please contact us at

eastshrewsburybrc@googlemail.com