Membership Application BRLA Membership Application Form Your Name * Your Email Address * Work Address * If you prefer to be contacted at your home address then please provide those details instead. Position * Telephone Number * I am applying on behalf of: * Myself (individual Membership - I am a Student, Trainee or Pupil £20) Myself (Individual Membership £40) A Law firm or Institution (Corporate Membership £250) Representative List * Add up to ten Names and E-mail addresses, one per line. I will make payment via * Cheque Bank Transfer Payable to The British-Russian Law Association - Hon. Secretary, Rupert D'Cruz, Littleton Chambers, 3 King's Bench Walk North, Temple, London EC4Y 7HR Direct bank transfer to the following bank account: Bank: Natwest, Uxbridge Branch, 48 High Street,Uxbridge, UB8 1UT Account name: British-Russian Law Association Account number: 65206541 Sort Code: 602210 IBAN: GB32NWBK60221065206541 IBAN BIC: NWBKGB2L Submit Application If you are human, leave this field blank.