Blackburn Rovers Independent Supporters Association



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Membership

There are several ways for you to become a BRISA member. You can pay by credit/debit cards, via Paypal, or simply by printing off an application form and sending a cheque.

This membership will cost £5 and whilst it can cover from a single member to an entire family it would only carry one vote (applicable to the first named applicant) and would only get one membership etc.

If you wish to apply online then please fill out the following form. This will then take you to the second part of the application process.

This section is for the Main Applicant. Please fill in all the details
Name:
Address:
Age
DOB (if under 16)
Contact Telephone number:
Email:

If you would like your membership to cover more than one person, then please fill in their details below.

Person 1

Name:
Age
DOB (if under 16)
Email:

Person 2

Name:
Age
DOB (if under 16)
Email:

Person 3

Name:
Age
DOB (if under 16)
Email:

Person 4

Name:
Age
DOB (if under 16)
Email:



Alternatively if you would like to pay by cheque, please print out the application below and enclose a Cheque for £5 made payable to BRISA.

APPLICATION FORM

If you have any further questions regarding membership don't hesitate to email admin@roversisa.co.uk


In order for BRISA to survive we rely on contributions from members and supporters. Any donation, however small, is greatly appreciated.

If you would like to make a contribution please send a cheque to:
BRISA
PO Box 381
Chorley
Lancashire

or by paypal

If you would like to donate in any other way please contact admin@roversisa.co.uk