membership.bhpa.co.uk
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Submitted URL: https://membership1.bhpa.co.uk/
Effective URL: https://membership.bhpa.co.uk/index.php?cookie=2&formid=710427822
Submission: On March 04 via api from US — Scanned from US
Effective URL: https://membership.bhpa.co.uk/index.php?cookie=2&formid=710427822
Submission: On March 04 via api from US — Scanned from US
Form analysis
2 forms found in the DOMGET https://www.bhpa.co.uk/search/search.php
<form action="https://www.bhpa.co.uk/search/search.php" method="get">
<div class="menu_item1g">
<p onclick="menu3click();" class="floatright"><a href="#top" title="close search form"><span class="menu_text1b"><i class="fa-solid fa-xmark"></i></span></a></p>
<input class="floatright" id="button" type="submit" value="Search">
<input class="floatright" type="text" required="" name="query" id="keyword1" size="20" value="" autocomplete="off">
<div id="sresults1"></div>
<input type="hidden" name="search" value="1">
</div>
</form>
POST https://membership.bhpa.co.uk/index.php
<form method="post" enctype="multipart/form-data" action="https://membership.bhpa.co.uk/index.php">
<div>
<input type="hidden" name="action" value="submit_form">
<input type="hidden" name="My_submission_id" value="c564e1e46f4f4176b09465a27b41bc5e">
<input type="hidden" name="form_token" value="1dea231b771f52531dbe3b3809b44d85">
<input type="hidden" name="age" value="">
<input type="hidden" name="application_date" value="04.03.2024">
<input type="hidden" name="membership_conditions" value="X">
</div>
<table id="tbl_fit4">
<thead>
<tr>
<th class="td_collapse" colspan="2"> Membership Application <span id="contain1"></span><br>Application Date: 04.03.2024</th>
</tr>
</thead>
<tbody>
<tr>
<td class="spacer" colspan="2">
<hr class="hr_hide">
</td>
</tr>
<tr class="tr2">
<td class="td_collapse"><span class="bold">Type of Application *</span><br><span class="italicsmall">Please select</span></td>
<td class="td_collapse">
<select id="membership_status" name="membership_status" autocomplete="off" required="" onchange="javascript: dynamicdropdown(this.options[this.selectedIndex].value);">
<option value=""> </option>
<option value="new">Join the BHPA (New Member)</option>
<option value="renewal">Renew my BHPA membership</option>
</select>
</td>
</tr>
<tr>
<td class="spacer" colspan="2">
<hr class="hr_hide">
</td>
</tr>
<tr class="tr1">
<td class="td_collapse"><span class="bold">Title *</span><br><span class="italicsmall">eg. Mr, Ms, Mx</span></td>
<td class="td_collapse"><input type="text" name="title" value="" maxlength="12" required=""></td>
</tr>
<tr>
<td class="spacer" colspan="2">
<hr class="hr_hide">
</td>
</tr>
<tr class="tr2">
<td class="td_collapse"><span class="bold">First Name *</span></td>
<td class="td_collapse"><input type="text" name="first_name" value="" maxlength="30" required=""></td>
</tr>
<tr>
<td class="spacer" colspan="2">
<hr class="hr_hide">
</td>
</tr>
<tr class="tr1">
<td class="td_collapse"><span class="bold">Surname *</span></td>
<td class="td_collapse"><input type="text" name="surname" value="" maxlength="30" required=""></td>
</tr>
<tr>
<td class="spacer" colspan="2">
<hr class="hr_hide">
</td>
</tr>
<tr class="tr2">
<td class="td_collapse"><span class="bold">Date of Birth *</span><br><span class="italicsmall">Numerical dd : mm : yyyy</span></td>
<td class="td_collapse">
<input style="width:20%;min-width:25px;" type="text" name="dob_day" value="" maxlength="2" required=""> : <input style="width:20%;min-width:25px;" type="text" name="dob_month" value="" maxlength="2" required=""> : <input
style="width:20%;min-width:25px;" type="text" name="dob_year" value="" maxlength="4" required="">
</td>
</tr>
<tr>
<td class="spacer" colspan="2">
<hr class="hr_hide">
</td>
</tr>
<tr class="tr1">
<td class="td_collapse"><span class="bold">Address Line 1 *</span></td>
<td class="td_collapse"><input type="text" name="address1" value="" maxlength="35" required=""></td>
</tr>
<tr>
<td class="spacer" colspan="2">
<hr class="hr_hide">
</td>
</tr>
<tr class="tr2">
<td class="td_collapse"><span class="bold">Address Line 2</span></td>
<td class="td_collapse"><input type="text" name="address2" value="" maxlength="35"></td>
</tr>
<tr>
<td class="spacer" colspan="2">
<hr class="hr_hide">
</td>
</tr>
<tr class="tr1">
<td class="td_collapse"><span class="bold">City/Town *</span></td>
<td class="td_collapse"><input type="text" name="city" value="" maxlength="35" required=""></td>
</tr>
<tr>
<td class="spacer" colspan="2">
<hr class="hr_hide">
</td>
</tr>
<tr class="tr2">
<td class="td_collapse"><span class="bold">County</span></td>
<td class="td_collapse"><input type="text" name="county" value="" maxlength="35"></td>
</tr>
<tr>
<td class="spacer" colspan="2">
<hr class="hr_hide">
</td>
</tr>
<tr class="tr1">
<td class="td_collapse"><span class="bold">Post Code *</span></td>
<td class="td_collapse"><input type="text" name="post_code" value="" maxlength="9" required=""></td>
</tr>
<tr>
<td class="spacer" colspan="2">
<hr class="hr_hide">
</td>
</tr>
<tr class="tr2">
<td class="td_collapse"><span class="bold">Country *</span><br><span class="italicsmall" id="contain3">Please select</span></td>
<td class="td_collapse">
<select style="width:100%" name="country_info" autocomplete="off" required="" onchange="doToggle1(this)">
<option value=""> </option>
<option value="GB|United Kingdom|A0">United Kingdom </option>
<option value="AF|Afghanistan|A1">Afghanistan (+ £17)</option>
<option value="AL|Albania|E2">Albania (+ £8)</option>
<option value="DZ|Algeria|A1">Algeria (+ £17)</option>
<option value="AS|American Samoa|A1">American Samoa (+ £17)</option>
<option value="AD|Andorra|A2">Andorra (+ £8)</option>
<option value="AO|Angola|A1">Angola (+ £17)</option>
<option value="AI|Anguilla|A1">Anguilla (+ £17)</option>
<option value="AG|Antigua and Barbuda|A1">Antigua and Barbuda (+ £17)</option>
<option value="AR|Argentina|A1">Argentina (+ £17)</option>
<option value="AM|Armenia|A2">Armenia (+ £8)</option>
<option value="AW|Aruba|A1">Aruba (+ £17)</option>
<option value="AS|Ascension Islands|A1">Ascension Islands (+ £17)</option>
<option value="AU|Australia|A2">Australia (+ £8)</option>
<option value="AT|Austria|E2">Austria (+ £8)</option>
<option value="AZ|Azerbaijan|A1">Azerbaijan (+ £17)</option>
<option value="BS|Bahamas|A1">Bahamas (+ £17)</option>
<option value="BH|Bahrain|A1">Bahrain (+ £17)</option>
<option value="BD|Bangladesh|A1">Bangladesh (+ £17)</option>
<option value="BB|Barbados|A1">Barbados (+ £17)</option>
<option value="BY|Belarus|A2">Belarus (+ £8)</option>
<option value="BE|Belgium|E2">Belgium (+ £8)</option>
<option value="BZ|Belize|A1">Belize (+ £17)</option>
<option value="BJ|Benin|A1">Benin (+ £17)</option>
<option value="BM|Bermuda|A1">Bermuda (+ £17)</option>
<option value="BT|Bhutan|A1">Bhutan (+ £17)</option>
<option value="BO|Bolivia|A1">Bolivia (+ £17)</option>
<option value="BQ|Bonaire|A1">Bonaire (+ £17)</option>
<option value="BA|Bosnia and Herzegovina|E2">Bosnia and Herzegovina (+ £8)</option>
<option value="BW|Botswana|A1">Botswana (+ £17)</option>
<option value="BR|Brazil|A1">Brazil (+ £17)</option>
<option value="IO|British Indian Ocean Territory|A1">British Indian Ocean Territory (+ £17)</option>
<option value="BV|British Virgin Islands|A1">British Virgin Islands (+ £17)</option>
<option value="BN|Brunei|A1">Brunei (+ £17)</option>
<option value="BG|Bulgaria|E2">Bulgaria (+ £8)</option>
<option value="BF|Burkina Faso|A1">Burkina Faso (+ £17)</option>
<option value="BI|Burundi|A1">Burundi (+ £17)</option>
<option value="KH|Cambodia|A1">Cambodia (+ £17)</option>
<option value="CM|Cameroon|A1">Cameroon (+ £17)</option>
<option value="CA|Canada|A2">Canada (+ £8)</option>
<option value="IC|Canary Islands|A2">Canary Islands (+ £8)</option>
<option value="CV|Cape Verde|A1">Cape Verde (+ £17)</option>
<option value="KY|Cayman Islands|A1">Cayman Islands (+ £17)</option>
<option value="CF|Central African Republic|A1">Central African Republic (+ £17)</option>
<option value="TD|Chad|A1">Chad (+ £17)</option>
<option value="CL|Chile|A1">Chile (+ £17)</option>
<option value="CN|China|A1">China (+ £17)</option>
<option value="CX|Christmas Island|A1">Christmas Island (+ £17)</option>
<option value="CC|Cocos (Keeling) Islands|A1">Cocos (Keeling) Islands (+ £17)</option>
<option value="CO|Colombia|A1">Colombia (+ £17)</option>
<option value="KM|Comoros|A1">Comoros (+ £17)</option>
<option value="CG|Congo, DRC|A1">Congo, DRC (+ £17)</option>
<option value="CD|Congo, Republic of|A1">Congo, Republic of (+ £17)</option>
<option value="CK|Cook Islands|A1">Cook Islands (+ £17)</option>
<option value="CR|Costa Rica|A1">Costa Rica (+ £17)</option>
<option value="CI|Cote D'ivoire|A1">Cote D'ivoire (+ £17)</option>
<option value="HR|Croatia|E2">Croatia (+ £8)</option>
<option value="CU|Cuba|A1">Cuba (+ £17)</option>
<option value="CW|Curacao|A1">Curacao (+ £17)</option>
<option value="CY|Cyprus|A2">Cyprus (+ £8)</option>
<option value="CZ|Czech Republic|A2">Czech Republic (+ £8)</option>
<option value="DK|Denmark|E2">Denmark (+ £8)</option>
<option value="DJ|Djibouti|A1">Djibouti (+ £17)</option>
<option value="DM|Dominica|A1">Dominica (+ £17)</option>
<option value="DO|Dominican Republic|A1">Dominican Republic (+ £17)</option>
<option value="EC|Ecuador|A1">Ecuador (+ £17)</option>
<option value="EG|Egypt|A1">Egypt (+ £17)</option>
<option value="SV|El Salvador|A1">El Salvador (+ £17)</option>
<option value="GQ|Equatorial Guinea|A1">Equatorial Guinea (+ £17)</option>
<option value="ER|Eritrea|A1">Eritrea (+ £17)</option>
<option value="EE|Estonia|E2">Estonia (+ £8)</option>
<option value="SZ|Eswatini, Kingdom of|A1">Eswatini, Kingdom of (+ £17)</option>
<option value="ET|Ethiopia|A1">Ethiopia (+ £17)</option>
<option value="FK|Falkland Islands (Malvinas)|A1">Falkland Islands (Malvinas) (+ £17)</option>
<option value="FO|Faroe Islands|E1">Faroe Islands (+ £17)</option>
<option value="FJ|Fiji|A1">Fiji (+ £17)</option>
<option value="FI|Finland|E2">Finland (+ £8)</option>
<option value="FR|France|E2">France (+ £8)</option>
<option value="GF|French Guiana|A1">French Guiana (+ £17)</option>
<option value="PF|French Polynesia|A1">French Polynesia (+ £17)</option>
<option value="TF|French Southern Territories|A1">French Southern Territories (+ £17)</option>
<option value="GA|Gabon|A1">Gabon (+ £17)</option>
<option value="GM|Gambia|A1">Gambia (+ £17)</option>
<option value="GE|Georgia|A1">Georgia (+ £17)</option>
<option value="DE|Germany|E2">Germany (+ £8)</option>
<option value="GH|Ghana|A1">Ghana (+ £17)</option>
<option value="GI|Gibraltar|E2">Gibraltar (+ £8)</option>
<option value="GR|Greece|E2">Greece (+ £8)</option>
<option value="GL|Greenland|E1">Greenland (+ £17)</option>
<option value="GD|Grenada|A1">Grenada (+ £17)</option>
<option value="GP|Guadeloupe|A1">Guadeloupe (+ £17)</option>
<option value="GU|Guam|A1">Guam (+ £17)</option>
<option value="GT|Guatemala|A1">Guatemala (+ £17)</option>
<option value="GN|Guinea|A1">Guinea (+ £17)</option>
<option value="GW|Guinea-bissau|A1">Guinea-bissau (+ £17)</option>
<option value="GY|Guyana|A1">Guyana (+ £17)</option>
<option value="HT|Haiti|A1">Haiti (+ £17)</option>
<option value="VA|Holy See (Vatican City)|E1">Holy See (Vatican City) (+ £17)</option>
<option value="HN|Honduras|A1">Honduras (+ £17)</option>
<option value="HK|Hong Kong|A1">Hong Kong (+ £17)</option>
<option value="HU|Hungary|A2">Hungary (+ £8)</option>
<option value="IS|Iceland|E1">Iceland (+ £17)</option>
<option value="IN|India|A1">India (+ £17)</option>
<option value="ID|Indonesia|A1">Indonesia (+ £17)</option>
<option value="IR|Iran, Islamic Republic of|A1">Iran, Islamic Republic of (+ £17)</option>
<option value="IQ|Iraq|A1">Iraq (+ £17)</option>
<option value="IE|Ireland (Eire)|E2">Ireland (Eire) (+ £8)</option>
<option value="IL|Israel|A2">Israel (+ £8)</option>
<option value="IT|Italy|E1">Italy (+ £17)</option>
<option value="JM|Jamaica|A1">Jamaica (+ £17)</option>
<option value="JP|Japan|A1">Japan (+ £17)</option>
<option value="JO|Jordan|A1">Jordan (+ £17)</option>
<option value="KZ|Kazakhstan|A1">Kazakhstan (+ £17)</option>
<option value="KE|Kenya|A1">Kenya (+ £17)</option>
<option value="KI|Kiribati|A1">Kiribati (+ £17)</option>
<option value="KP|Korea, Democratic People's Republic of|A1">Korea, Democratic People's Republic of (+ £17)</option>
<option value="KR|Korea, Republic of|A1">Korea, Republic of (+ £17)</option>
<option value="XK|Kosovo|E1">Kosovo (+ £17)</option>
<option value="KW|Kuwait|A1">Kuwait (+ £17)</option>
<option value="KG|Kyrgyzstan|A1">Kyrgyzstan (+ £17)</option>
<option value="LA|Lao People's Democratic Republic|A1">Lao People's Democratic Republic (+ £17)</option>
<option value="LV|Latvia|E2">Latvia (+ £8)</option>
<option value="LB|Lebanon|A1">Lebanon (+ £17)</option>
<option value="LS|Lesotho|A1">Lesotho (+ £17)</option>
<option value="LR|Liberia|A1">Liberia (+ £17)</option>
<option value="LY|Libya|A1">Libya (+ £17)</option>
<option value="LI|Liechtenstein|E2">Liechtenstein (+ £8)</option>
<option value="LT|Lithuania|E2">Lithuania (+ £8)</option>
<option value="LU|Luxembourg|E2">Luxembourg (+ £8)</option>
<option value="MO|Macao|A1">Macao (+ £17)</option>
<option value="MK|Macedonia|E1">Macedonia (+ £17)</option>
<option value="MG|Madagascar|A1">Madagascar (+ £17)</option>
<option value="YT|Mayotte|A1">Mayotte (+ £17)</option>
<option value="MW|Malawi|A1">Malawi (+ £17)</option>
<option value="MY|Malaysia|A1">Malaysia (+ £17)</option>
<option value="MV|Maldives|A1">Maldives (+ £17)</option>
<option value="ML|Mali|A1">Mali (+ £17)</option>
<option value="MT|Malta|E2">Malta (+ £8)</option>
<option value="MH|Marshall Islands|A1">Marshall Islands (+ £17)</option>
<option value="MQ|Martinique|A1">Martinique (+ £17)</option>
<option value="MR|Mauritania|A1">Mauritania (+ £17)</option>
<option value="MU|Mauritius|A1">Mauritius (+ £17)</option>
<option value="YT|Mayotte|A1">Mayotte (+ £17)</option>
<option value="MX|Mexico|A1">Mexico (+ £17)</option>
<option value="MD|Moldova, Republic of|E1">Moldova, Republic of (+ £17)</option>
<option value="MC|Monaco|A2">Monaco (+ £8)</option>
<option value="MN|Mongolia|A1">Mongolia (+ £17)</option>
<option value="ME|Montenegro|E2">Montenegro (+ £8)</option>
<option value="MS|Montserrat|A1">Montserrat (+ £17)</option>
<option value="MA|Morocco|A1">Morocco (+ £17)</option>
<option value="MZ|Mozambique|A1">Mozambique (+ £17)</option>
<option value="MM|Myanmar|A1">Myanmar (+ £17)</option>
<option value="NA|Namibia|A1">Namibia (+ £17)</option>
<option value="NR|Nauru|A1">Nauru (+ £17)</option>
<option value="NP|Nepal|A1">Nepal (+ £17)</option>
<option value="NL|Netherlands|E2">Netherlands (+ £8)</option>
<option value="AN|Netherlands Antilles|A1">Netherlands Antilles (+ £17)</option>
<option value="NC|New Caledonia|A1">New Caledonia (+ £17)</option>
<option value="NZ|New Zealand|A2">New Zealand (+ £8)</option>
<option value="NI|Nicaragua|A1">Nicaragua (+ £17)</option>
<option value="NE|Niger|A1">Niger (+ £17)</option>
<option value="NG|Nigeria|A1">Nigeria (+ £17)</option>
<option value="NU|Niue|A1">Niue (+ £17)</option>
<option value="NF|Norfolk Island|A1">Norfolk Island (+ £17)</option>
<option value="MP|Northern Mariana Islands|A1">Northern Mariana Islands (+ £17)</option>
<option value="NO|Norway|E1">Norway (+ £17)</option>
<option value="OM|Oman|A1">Oman (+ £17)</option>
<option value="PK|Pakistan|A1">Pakistan (+ £17)</option>
<option value="PW|Palau|A1">Palau (+ £17)</option>
<option value="PS|Palestinian, State of|A1">Palestinian, State of (+ £17)</option>
<option value="PA|Panama|A1">Panama (+ £17)</option>
<option value="PG|Papua New Guinea|A1">Papua New Guinea (+ £17)</option>
<option value="PY|Paraguay|A1">Paraguay (+ £17)</option>
<option value="PE|Peru|A1">Peru (+ £17)</option>
<option value="PH|Philippines|A1">Philippines (+ £17)</option>
<option value="PN|Pitcairn|A1">Pitcairn (+ £17)</option>
<option value="PL|Poland|A2">Poland (+ £8)</option>
<option value="PT|Portugal|E1">Portugal (+ £17)</option>
<option value="PR|Puerto Rico|A1">Puerto Rico (+ £17)</option>
<option value="QA|Qatar|A1">Qatar (+ £17)</option>
<option value="RE|Reunion|A1">Reunion (+ £17)</option>
<option value="RO|Romania|A2">Romania (+ £8)</option>
<option value="RU|Russian Federation|A1">Russian Federation (+ £17)</option>
<option value="RW|Rwanda|A1">Rwanda (+ £17)</option>
<option value="BQ|St Eustatius|A1">St Eustatius (+ £17)</option>
<option value="SH|St Helena|A1">St Helena (+ £17)</option>
<option value="KN|St Kitts and Nevis|A1">St Kitts and Nevis (+ £17)</option>
<option value="LC|St Lucia|A1">St Lucia (+ £17)</option>
<option value="PM|St Pierre and Miquelon|A1">St Pierre and Miquelon (+ £17)</option>
<option value="VC|St Vincent and The Grenadines|A1">St Vincent and The Grenadines (+ £17)</option>
<option value="WS|Samoa|A1">Samoa (+ £17)</option>
<option value="SM|San Marino|A2">San Marino (+ £8)</option>
<option value="ST|Sao Tome and Principe|A1">Sao Tome and Principe (+ £17)</option>
<option value="SA|Saudi Arabia|A1">Saudi Arabia (+ £17)</option>
<option value="SN|Senegal|A1">Senegal (+ £17)</option>
<option value="RS|Serbia|E2">Serbia (+ £8)</option>
<option value="SC|Seychelles|A1">Seychelles (+ £17)</option>
<option value="SL|Sierra Leone|A1">Sierra Leone (+ £17)</option>
<option value="SG|Singapore|A1">Singapore (+ £17)</option>
<option value="SK|Slovak Republic|E2">Slovak Republic (+ £8)</option>
<option value="SI|Slovenia|E2">Slovenia (+ £8)</option>
<option value="SB|Solomon Islands|A1">Solomon Islands (+ £17)</option>
<option value="SO|Somalia|A1">Somalia (+ £17)</option>
<option value="ZA|South Africa|A1">South Africa (+ £17)</option>
<option value="GS|South Georgia and The South Sandwich Islands|A1">South Georgia and The South Sandwich Islands (+ £17)</option>
<option value="ES|Spain|E2">Spain (+ £8)</option>
<option value="LK|Sri Lanka|A1">Sri Lanka (+ £17)</option>
<option value="SS|South Sudan|A1">South Sudan (+ £17)</option>
<option value="SD|Sudan|A1">Sudan (+ £17)</option>
<option value="SR|Suriname|A1">Suriname (+ £17)</option>
<option value="SE|Sweden|E1">Sweden (+ £17)</option>
<option value="CH|Switzerland|E2">Switzerland (+ £8)</option>
<option value="SY|Syrian Arab Republic|A1">Syrian Arab Republic (+ £17)</option>
<option value="TW|Taiwan|A1">Taiwan (+ £17)</option>
<option value="TJ|Tajikistan|A1">Tajikistan (+ £17)</option>
<option value="TZ|Tanzania, United Republic of|A1">Tanzania, United Republic of (+ £17)</option>
<option value="TH|Thailand|A1">Thailand (+ £17)</option>
<option value="TL|Timor-leste|A1">Timor-leste (+ £17)</option>
<option value="TG|Togo|A1">Togo (+ £17)</option>
<option value="TK|Tokelau|A1">Tokelau (+ £17)</option>
<option value="TO|Tonga|A1">Tonga (+ £17)</option>
<option value="TT|Trinidad and Tobago|A1">Trinidad and Tobago (+ £17)</option>
<option value="TN|Tunisia|A1">Tunisia (+ £17)</option>
<option value="TR|Turkey|A2">Turkey (+ £8)</option>
<option value="TM|Turkmenistan|A1">Turkmenistan (+ £17)</option>
<option value="TC|Turks and Caicos Islands|A1">Turks and Caicos Islands (+ £17)</option>
<option value="TV|Tuvalu|A1">Tuvalu (+ £17)</option>
<option value="UG|Uganda|A1">Uganda (+ £17)</option>
<option value="UA|Ukraine|A2">Ukraine (+ £8)</option>
<option value="AE|United Arab Emirates|A1">United Arab Emirates (+ £17)</option>
<option value="GB|United Kingdom|A0">United Kingdom </option>
<option value="US|United States|A2">United States (+ £8)</option>
<option value="UM|United States Minor Outlying Islands|A2">United States Minor Outlying Islands (+ £8)</option>
<option value="UY|Uruguay|A1">Uruguay (+ £17)</option>
<option value="UZ|Uzbekistan|A1">Uzbekistan (+ £17)</option>
<option value="VU|Vanuatu|A1">Vanuatu (+ £17)</option>
<option value="VE|Venezuela|A1">Venezuela (+ £17)</option>
<option value="VN|Vietnam|A1">Vietnam (+ £17)</option>
<option value="VG|Virgin Islands, British|A1">Virgin Islands, British (+ £17)</option>
<option value="VI|Virgin Islands, U.S.|A1">Virgin Islands, U.S. (+ £17)</option>
<option value="WF|Wallis and Futuna|A1">Wallis and Futuna (+ £17)</option>
<option value="EH|Western Sahara|A1">Western Sahara (+ £17)</option>
<option value="YE|Yemen|A1">Yemen (+ £17)</option>
<option value="ZM|Zambia|A1">Zambia (+ £17)</option>
<option value="ZW|Zimbabwe|A1">Zimbabwe (+ £17)</option>
</select>
</td>
</tr>
<tr>
<td class="spacer" colspan="2">
<hr class="hr_hide">
</td>
</tr>
<tr class="tr1">
<td class="td_collapse"><span class="bold">Home Telephone No. *</span></td>
<td class="td_collapse"><input type="text" name="home_tel" value="" maxlength="30" required=""> </td>
</tr>
<tr>
<td class="spacer" colspan="2">
<hr class="hr_hide">
</td>
</tr>
<tr class="tr2">
<td class="td_collapse"><span class="bold">Work Telephone No.</span></td>
<td class="td_collapse"><input type="text" name="work_tel" value="" maxlength="30"></td>
</tr>
<tr>
<td class="spacer" colspan="2">
<hr class="hr_hide">
</td>
</tr>
<tr class="tr1">
<td class="td_collapse"><span class="bold">Email Address *</span></td>
<td class="td_collapse"><input type="email" name="email" value="" maxlength="130" required=""></td>
</tr>
<tr>
<td class="spacer" colspan="2">
<hr class="hr_hide">
</td>
</tr>
<tr class="tr2">
<td class="td_collapse"><span class="bold">Occupation</span></td>
<td class="td_collapse"><input type="text" name="occupation" value="" maxlength="50"></td>
</tr>
<tr>
<td class="spacer" colspan="2">
<hr class="hr_hide">
</td>
</tr>
<tr class="tr1">
<td class="td_collapse"><span class="bold">Type of Membership *</span><br><span class="italicsmall">Please select</span></td>
<td class="td_collapse">
<script>
document.write('<select style="width:100%" name="membership" id="membership" onchange="doToggle(this)"><option value=""></option></select>')
</script><select style="width:100%" name="membership" id="membership" onchange="doToggle(this)">
<option value=""></option>
</select>
</td>
</tr>
<tr>
<td class="spacer" colspan="2">
<hr class="hr_hide">
</td>
</tr>
<tr class="tr2">
<td class="td_collapse" colspan="2">
<h4 class="nomarginbottom">Membership Information</h4>
<p class="italicsmall margintop10">Family group members must live at the same address as a full member.<br><br>Concessionary members must be 21 and under, or 67 and over.<span id="contain4"></span>
</p>
<p id="contain5"></p>
</td>
</tr>
<tr>
<td class="spacer" colspan="2">
<hr class="hr_hide">
</td>
</tr>
<tr class="tr1">
<td class="td_collapse" id="contain6"></td>
<td class="td_collapse" id="contain7"></td>
</tr>
<tr>
<td class="spacer" colspan="2">
<hr class="hr_hide">
</td>
</tr>
<tr class="tr2">
<td class="td_collapse">
<div class="marginbottom10" id="contain11"><span class="bold">Supporting Documents (New Member)</span><br>Microlight/SSDR Pilots and pilots with an overseas hang gliding or paragliding qualification should attach scanned copies of the
required documents here.<br>(Permitted file types: png, jpg, jpeg, gif, pdf)</div>
<div class="marginbottom10" id="contain14"><span class="bold">Supporting Documents (Membership Renewal)</span><br>Pilots wishing to retain any BHPA licences they currently hold should attach scanned copies of the required documents
here.<br>(Permitted file types: png, jpg, jpeg, gif, pdf)</div>
</td>
<!-- must be type="file" and name="attachments[]" -->
<td class="td_collapse">
<div class="margintop10" id="contain12"><input class="button1 marginbottom8" type="file" name="attachments[]"
accept="image/*,application/pdf"><a href="#" id="addfileupload"><img src="image/common/plus.png" width="18" height="18" title="Attach more files" alt="Attach more files"> Attach More Files</a></div>
<div id="contain13">
<div id="fileuploads"></div>
</div>
</td>
</tr>
<tr>
<td class="spacer" colspan="2">
<hr class="hr_hide">
</td>
</tr>
<tr class="tr1">
<td class="td_collapse" id="contain15"></td>
<td class="td_collapse" id="contain16"></td>
</tr>
<tr>
<td class="spacer" colspan="2">
<hr class="hr_hide">
</td>
</tr>
<tr class="tr2">
<td class="td_collapse" id="contain8"></td>
<td class="td_collapse" id="contain9"> </td>
</tr>
<tr>
<td class="spacer" colspan="2">
<hr class="hr_hide">
</td>
</tr>
<tr class="tr1">
<td class="td_collapse" id="contain10"><span class="bold">Your BHPA school/club *</span></td>
<td class="td_collapse"><input type="text" name="school_club" value="" maxlength="50" required=""></td>
</tr>
<tr>
<td class="spacer" colspan="2">
<hr class="hr_hide">
</td>
</tr>
<tr class="tr2">
<td class="td_collapse"><span class="bold">Payment Method</span><br><span class="italicsmall">Credit and debit card payments will be processed by Secure Hosting Payment Services by Monek<br><br></span></td>
<td class="td_collapse">Credit or Debit Card <div>
<input type="hidden" name="payment" value="Monek">
</div>
</td>
</tr>
<tr>
<td class="spacer" colspan="2">
<hr class="hr_hide">
</td>
</tr>
<tr class="tr1">
<td class="td_collapse">
<span class="bold">BHPA Membership Conditions</span>
<br> I hereby apply for BHPA Membership as indicated in the options selected above, and confirm that the information I have given in this membership application is correct and complete to the best of my knowledge and belief. I understand
that before I fly I must be physically and mentally fit to do so. Before undergoing any training I undertake to inform my instructor if I suffer from any mental or physical defect, infirmity, previous injury, disease or condition which
could increase the risk of an accident or the severity of an injury. I understand that falsification of age will invalidate my insurance. I acknowledge that hang gliding, paragliding and their variants are extreme sports which come with
inherent risks and that such risks may manifest themselves through no one else's fault. I accept that even when all proper care has been taken to ensure my safety, I may suffer loss or injury in which case I have no entitlement to claim
compensation from the BHPA, its representatives or members, instructors, accredited schools and/or clubs. I understand that membership benefits will be those ruling at the time of my acceptance. I fully understand and accept the additional
risks if I fly an uncertified wing with no acceptable independent verification of airworthiness (see <a href="https://www.bhpa.co.uk/pdf/BHPA_Certification.pdf" target="_blank">BHPA Certification Factsheet</a>). I agree to abide by the BHPA
rules, regulations and operating procedures.<br><br>
</td>
<td class="td_collapse"> Tick to confirm Membership Conditions read & agreed * <br>
<input style="margin-left:10px;margin-right:10px" name="membership_conditions" type="checkbox" value="Read and Agreed" required="">
</td>
</tr>
<tr>
<td class="spacer" colspan="2">
<hr class="hr_hide">
</td>
</tr>
<tr class="tr2">
<td class="td_collapse" colspan="2">
<span class="bold">BHPA Privacy Notice</span>
<br> The BHPA will use the information you have provided for the purposes of providing you with membership products and services. The data you provide will be stored on our servers within the UK and kept by us whilst you are a member of the
BHPA and for a period of 6 years afterwards. BHPA will not share your data with third parties other than to provide you with membership products and services, e.g. BHPA Registered Clubs, insurers, FAI etc, or in the pursuit of flight safety
e.g. AAIB, UK Airprox Board etc without your prior permission. You have the right to object to our use of your data, withdraw your consent for us to use your data, request a copy of the data we hold, require us to correct any errors in that
data and to require us to delete your personal data. If you choose to withdraw your consent BHPA will no longer be able to provide you with some member products and services.<br><br>
</td>
</tr>
</tbody>
</table>
<div class="margintop15">
<input type="submit" class="button1" value="Submit" name="Submit">
</div>
</form>
Text Content
* BHPA * Our Sport * Membership * Clubs * Schools * Safety * Documents * Forms * Fees * News * Skywings * Search * * Clubs * Schools * Safety * Documents * * Forms * Fees * News * Skywings * BRITISH HANG GLIDING AND PARAGLIDING ASSOCIATION * Contact Us * BHPA Shop * Executive Council * Flyability * Safety Notices * Safety Matters * IR Summaries * * * Executive Council * Flyability * Safety Notices * IR Summaries membership.bhpa.co.uk bhpa membership BHPA MEMBERSHIP MEMBERSHIP APPLICATION Please complete the following form to apply for membership of the British Hang Gliding & Paragliding Association (BHPA) or renew your BHPA membership. Required fields are indicated with an (*). Following submission of this form, you will be asked to pay the full amount due for the membership category and options selected. But if you choose to pay future renewals by direct debit, you will receive an annual discount of £7 when you next come to renew. To setup future renewals by direct debit, please download and complete a Direct Debit form, and return it to the office. This form uses Javascript and Cookies, please make sure both are supported by your browser before completing this membership form. PLEASE NOTE If you fly a Single-Seat Deregulated (SSDR) microlight or have an overseas hang gliding or paragliding qualification you will need to provide additional documention in support of your membership application. The required documents can either be attached to this form, or submitted by post or email. Please see Single-Seat Deregulated (SSDR) microlights and the BHPA or Alternative Entry to the Pilot Rating Scheme for full details of the documentation required. Membership Application Application Date: 04.03.2024 -------------------------------------------------------------------------------- Type of Application * Please select Join the BHPA (New Member) Renew my BHPA membership -------------------------------------------------------------------------------- Title * eg. Mr, Ms, Mx -------------------------------------------------------------------------------- First Name * -------------------------------------------------------------------------------- Surname * -------------------------------------------------------------------------------- Date of Birth * Numerical dd : mm : yyyy : : -------------------------------------------------------------------------------- Address Line 1 * -------------------------------------------------------------------------------- Address Line 2 -------------------------------------------------------------------------------- City/Town * -------------------------------------------------------------------------------- County -------------------------------------------------------------------------------- Post Code * -------------------------------------------------------------------------------- Country * Please select United Kingdom Afghanistan (+ £17) Albania (+ £8) Algeria (+ £17) American Samoa (+ £17) Andorra (+ £8) Angola (+ £17) Anguilla (+ £17) Antigua and Barbuda (+ £17) Argentina (+ £17) Armenia (+ £8) Aruba (+ £17) Ascension Islands (+ £17) Australia (+ £8) Austria (+ £8) Azerbaijan (+ £17) Bahamas (+ £17) Bahrain (+ £17) Bangladesh (+ £17) Barbados (+ £17) Belarus (+ £8) Belgium (+ £8) Belize (+ £17) Benin (+ £17) Bermuda (+ £17) Bhutan (+ £17) Bolivia (+ £17) Bonaire (+ £17) Bosnia and Herzegovina (+ £8) Botswana (+ £17) Brazil (+ £17) British Indian Ocean Territory (+ £17) British Virgin Islands (+ £17) Brunei (+ £17) Bulgaria (+ £8) Burkina Faso (+ £17) Burundi (+ £17) Cambodia (+ £17) Cameroon (+ £17) Canada (+ £8) Canary Islands (+ £8) Cape Verde (+ £17) Cayman Islands (+ £17) Central African Republic (+ £17) Chad (+ £17) Chile (+ £17) China (+ £17) Christmas Island (+ £17) Cocos (Keeling) Islands (+ £17) Colombia (+ £17) Comoros (+ £17) Congo, DRC (+ £17) Congo, Republic of (+ £17) Cook Islands (+ £17) Costa Rica (+ £17) Cote D'ivoire (+ £17) Croatia (+ £8) Cuba (+ £17) Curacao (+ £17) Cyprus (+ £8) Czech Republic (+ £8) Denmark (+ £8) Djibouti (+ £17) Dominica (+ £17) Dominican Republic (+ £17) Ecuador (+ £17) Egypt (+ £17) El Salvador (+ £17) Equatorial Guinea (+ £17) Eritrea (+ £17) Estonia (+ £8) Eswatini, Kingdom of (+ £17) Ethiopia (+ £17) Falkland Islands (Malvinas) (+ £17) Faroe Islands (+ £17) Fiji (+ £17) Finland (+ £8) France (+ £8) French Guiana (+ £17) French Polynesia (+ £17) French Southern Territories (+ £17) Gabon (+ £17) Gambia (+ £17) Georgia (+ £17) Germany (+ £8) Ghana (+ £17) Gibraltar (+ £8) Greece (+ £8) Greenland (+ £17) Grenada (+ £17) Guadeloupe (+ £17) Guam (+ £17) Guatemala (+ £17) Guinea (+ £17) Guinea-bissau (+ £17) Guyana (+ £17) Haiti (+ £17) Holy See (Vatican City) (+ £17) Honduras (+ £17) Hong Kong (+ £17) Hungary (+ £8) Iceland (+ £17) India (+ £17) Indonesia (+ £17) Iran, Islamic Republic of (+ £17) Iraq (+ £17) Ireland (Eire) (+ £8) Israel (+ £8) Italy (+ £17) Jamaica (+ £17) Japan (+ £17) Jordan (+ £17) Kazakhstan (+ £17) Kenya (+ £17) Kiribati (+ £17) Korea, Democratic People's Republic of (+ £17) Korea, Republic of (+ £17) Kosovo (+ £17) Kuwait (+ £17) Kyrgyzstan (+ £17) Lao People's Democratic Republic (+ £17) Latvia (+ £8) Lebanon (+ £17) Lesotho (+ £17) Liberia (+ £17) Libya (+ £17) Liechtenstein (+ £8) Lithuania (+ £8) Luxembourg (+ £8) Macao (+ £17) Macedonia (+ £17) Madagascar (+ £17) Mayotte (+ £17) Malawi (+ £17) Malaysia (+ £17) Maldives (+ £17) Mali (+ £17) Malta (+ £8) Marshall Islands (+ £17) Martinique (+ £17) Mauritania (+ £17) Mauritius (+ £17) Mayotte (+ £17) Mexico (+ £17) Moldova, Republic of (+ £17) Monaco (+ £8) Mongolia (+ £17) Montenegro (+ £8) Montserrat (+ £17) Morocco (+ £17) Mozambique (+ £17) Myanmar (+ £17) Namibia (+ £17) Nauru (+ £17) Nepal (+ £17) Netherlands (+ £8) Netherlands Antilles (+ £17) New Caledonia (+ £17) New Zealand (+ £8) Nicaragua (+ £17) Niger (+ £17) Nigeria (+ £17) Niue (+ £17) Norfolk Island (+ £17) Northern Mariana Islands (+ £17) Norway (+ £17) Oman (+ £17) Pakistan (+ £17) Palau (+ £17) Palestinian, State of (+ £17) Panama (+ £17) Papua New Guinea (+ £17) Paraguay (+ £17) Peru (+ £17) Philippines (+ £17) Pitcairn (+ £17) Poland (+ £8) Portugal (+ £17) Puerto Rico (+ £17) Qatar (+ £17) Reunion (+ £17) Romania (+ £8) Russian Federation (+ £17) Rwanda (+ £17) St Eustatius (+ £17) St Helena (+ £17) St Kitts and Nevis (+ £17) St Lucia (+ £17) St Pierre and Miquelon (+ £17) St Vincent and The Grenadines (+ £17) Samoa (+ £17) San Marino (+ £8) Sao Tome and Principe (+ £17) Saudi Arabia (+ £17) Senegal (+ £17) Serbia (+ £8) Seychelles (+ £17) Sierra Leone (+ £17) Singapore (+ £17) Slovak Republic (+ £8) Slovenia (+ £8) Solomon Islands (+ £17) Somalia (+ £17) South Africa (+ £17) South Georgia and The South Sandwich Islands (+ £17) Spain (+ £8) Sri Lanka (+ £17) South Sudan (+ £17) Sudan (+ £17) Suriname (+ £17) Sweden (+ £17) Switzerland (+ £8) Syrian Arab Republic (+ £17) Taiwan (+ £17) Tajikistan (+ £17) Tanzania, United Republic of (+ £17) Thailand (+ £17) Timor-leste (+ £17) Togo (+ £17) Tokelau (+ £17) Tonga (+ £17) Trinidad and Tobago (+ £17) Tunisia (+ £17) Turkey (+ £8) Turkmenistan (+ £17) Turks and Caicos Islands (+ £17) Tuvalu (+ £17) Uganda (+ £17) Ukraine (+ £8) United Arab Emirates (+ £17) United Kingdom United States (+ £8) United States Minor Outlying Islands (+ £8) Uruguay (+ £17) Uzbekistan (+ £17) Vanuatu (+ £17) Venezuela (+ £17) Vietnam (+ £17) Virgin Islands, British (+ £17) Virgin Islands, U.S. (+ £17) Wallis and Futuna (+ £17) Western Sahara (+ £17) Yemen (+ £17) Zambia (+ £17) Zimbabwe (+ £17) -------------------------------------------------------------------------------- Home Telephone No. * -------------------------------------------------------------------------------- Work Telephone No. -------------------------------------------------------------------------------- Email Address * -------------------------------------------------------------------------------- Occupation -------------------------------------------------------------------------------- Type of Membership * Please select -------------------------------------------------------------------------------- MEMBERSHIP INFORMATION Family group members must live at the same address as a full member. Concessionary members must be 21 and under, or 67 and over. -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Supporting Documents (New Member) Microlight/SSDR Pilots and pilots with an overseas hang gliding or paragliding qualification should attach scanned copies of the required documents here. (Permitted file types: png, jpg, jpeg, gif, pdf) Supporting Documents (Membership Renewal) Pilots wishing to retain any BHPA licences they currently hold should attach scanned copies of the required documents here. (Permitted file types: png, jpg, jpeg, gif, pdf) Attach More Files -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Your BHPA school/club * -------------------------------------------------------------------------------- Payment Method Credit and debit card payments will be processed by Secure Hosting Payment Services by Monek Credit or Debit Card -------------------------------------------------------------------------------- BHPA Membership Conditions I hereby apply for BHPA Membership as indicated in the options selected above, and confirm that the information I have given in this membership application is correct and complete to the best of my knowledge and belief. I understand that before I fly I must be physically and mentally fit to do so. Before undergoing any training I undertake to inform my instructor if I suffer from any mental or physical defect, infirmity, previous injury, disease or condition which could increase the risk of an accident or the severity of an injury. I understand that falsification of age will invalidate my insurance. I acknowledge that hang gliding, paragliding and their variants are extreme sports which come with inherent risks and that such risks may manifest themselves through no one else's fault. I accept that even when all proper care has been taken to ensure my safety, I may suffer loss or injury in which case I have no entitlement to claim compensation from the BHPA, its representatives or members, instructors, accredited schools and/or clubs. I understand that membership benefits will be those ruling at the time of my acceptance. I fully understand and accept the additional risks if I fly an uncertified wing with no acceptable independent verification of airworthiness (see BHPA Certification Factsheet). I agree to abide by the BHPA rules, regulations and operating procedures. Tick to confirm Membership Conditions read & agreed * -------------------------------------------------------------------------------- BHPA Privacy Notice The BHPA will use the information you have provided for the purposes of providing you with membership products and services. The data you provide will be stored on our servers within the UK and kept by us whilst you are a member of the BHPA and for a period of 6 years afterwards. BHPA will not share your data with third parties other than to provide you with membership products and services, e.g. BHPA Registered Clubs, insurers, FAI etc, or in the pursuit of flight safety e.g. AAIB, UK Airprox Board etc without your prior permission. You have the right to object to our use of your data, withdraw your consent for us to use your data, request a copy of the data we hold, require us to correct any errors in that data and to require us to delete your personal data. If you choose to withdraw your consent BHPA will no longer be able to provide you with some member products and services. For security purposes your ip address (38.132.118.70) and internet host name (*.132.118.70) will be logged when you submit this form. Last updated: 28.02.2024 * * Contact * Join * Renew * Learn to Fly * Flyability * Skywings * Calendar * BHPA Courses * HG XC League * HG Competitions * PG XC League * PG Competitions * PPG Competitions * Media * Member Privacy * Website Terms * Website Privacy * Cookies * Credits * Site Map * HG History * Links * Weather Links * XC Weather * RASP * BBC Weather © British Hang Gliding & Paragliding Association 2004 - 2024 We use cookies to enhance your visit to our website. Third party cookies are also normally set by Google and YouTube when you visit certain pages on our website. By continuing to browse this website you are implicitly agreeing to accept all cookies set by this website. For further information about the cookies set by this website and how we use them, please review our privacy policy.