PRINT THIS FORM AND BRING COMPLETED TO THE ROMAN BATHS WITH PROOF OF RESIDENCE AND IDENTITY TO OBTAIN YOUR DISCOVERY CARD

Resident’s Discovery Card
Application form

[  ]  This is my first application for a Discovery Card		
[  ]  I wish to renew my current Discovery Card

[  ]  Adult	[  ]  Child	[  ]  Student

To apply for your resident’s Discovery Card:

1.	Fill in your details on this form and bring it with you to either the main entrance of the Roman Baths, One Stop Shop in Manvers Street or Victoria Art Gallery in Bath, One Stop Shops at The Hollies in Midsomer Norton or Keynsham Civic Centre, where you will be issued with your Discovery Card.  Only personal applications will be accepted, as your photograph will be taken and used on your Discovery Card. 

2.	Bring one of the following, to show that you are a resident of Bath & North East Somerset (please tick to indicate documents used):

[   ]	Council tax bill (preferred proof of residence)
[   ]	Latest utility bill showing your address (gas, electricity, water, telephone, etc)
[   ]	Bath & North East Somerset Diamond Travel Card
[   ]	Latest bank/mobile phone statement 

3.	Bring one of the following as proof of identity (please tick to indicate documents used):

[   ]	Photocard driving licence	[   ]   Passport
[   ]	Credit card			[   ]   Bath & North East Somerset Diamond Travel Card

Mr/Mrs/Ms:  …………………….. 	First name: ……………………..…………………….…………

Last name:  ……………………………………………………………………………………………………………………

Date of birth (if under 17):  ………………………………

Address (must be within Bath & North East Somerset):  ……………………………………………………………………

……………………………………..…………...………………………………………………………………………………….

……………………………………………………………. …………………………..…………………………………………..

Post Code:  …………………………….……………		Tel:  …………………………..………………………………..

Email:………………………………………………………………………………………………………………………………

If you give us your email address, this will enable us to contact you occasionally with details of special events or new discounts.

We do not pass your details on to other organisations. We are not able to update your information using records held by other sections of the Council.

I have read the terms and conditions of use for the Discovery Card and agree to abide by them.  To be signed in the presence of staff at point of application.

Signature: ……………………………………………………………	Date:  ……………………………….

Discover your local heritage for free