Copyright: The British DJ Organisation 2009. www.britishdj.org.uk
Region 5. Scotland. S. E. & S. W.
The British D. J. Organisation Web Application Form
Public Liability Insurance Inc. Membership from 1st June 2010 to 31st May 2011.
Important Note. Please include two recent passport size photos of the applicant.
If you are already a member & are simply renewing you need not send a new photo unless you require the original photo on file updating.
PLI & Membership from 1st June 2010 to 31st May 2011 £85.00
You must complete the details on this page & also the Code of Practice on the following page. Please use Block Lettering & Black Ink.
First Name/s: _______________________________________________________ Surname: _______________________________________
Address: __________________________________________________________________________________________________________
____________________________________________________________________________________ Post Code: ____________________
Phone No: Day _____________________________________________ Evening: ________________________________________________
E-Mail Address: _____________________________________________________________ Date of Birth: ____________________________
Disco/Roadshow Name: _____________________________________________________________________________________________
Optional
Please study the regional map of G. B. & tick a box/s that will be appropriate to your work area. Please be aware if you tick more than one box you will be expected to be available for work in those areas.
Region 2. Central. C. E. & C. W.
Region 3. Wales. N. W. & S. W.
Region 4. North. N. W. & N. E.
Region 1. South. S.W. & S.E.
Important Note
When including contact phone numbers, please ensure you use a number that is manned during the day as well as evening.
The contact numbers you have given above will be used as part of your contact details.
Return Address
The British D.J. Organisation
30 Greenacres Park
Horncastle
Lincolnshire
LN9 6NJ
