Application Form I Bira

To apply for Bria membership, please complete and submit the application form below. Once we receive your application, it will be reviewed and processed by our team. Applications are typically processed within one working day.

If your application is successful, a member of our team will contact you to arrange payment.

Once payment has been received, you will receive a welcome email confirming your membership and additional information you need to get started.

We look forward to welcoming you as a member.

Personal Details

First Name

Last Name

Email address

Telephone

Company Details

Company Name

Telephone

Postcode

Business Address

Trading As

What sector are you in? (e.g. fashion, cafe, hair salon etc)

Number of Branches

Business Turnover

Number of Employees

Payment

Annual Direct Debit with 5% discount
Monthly Direct Debit
Annual Card Payment with 5% discount

Consent

You agree that the information provided will be used to share information (via email) from Bira, our subsidiary companies and third parties, which may be of interest or benefit to you. For more information, please read the full Bira Privacy Policy at bira.co.uk/privacy.

Yes, I agree

Join as a Bira Member for £17.08 per month

Direct Debit option only

Save 5% with Annual Membership

Pay by Card or Direct Debit

Need help?

Call us today

0800 028 0245

Bira Membership Application Form

Join as a Bira Member for £17.08 per month

Save 5% with Annual Membership

Need help?

Thinking of becoming a member? Apply online or call today 0800 028 0245