Application for membership

Name/s:

_____________________________

Additional information:-

Address 1:

_____________________________

I am / we are wanting NEW / RENEWED membership.

Address 2:

_____________________________

I / we  wish to join the above named club and agrees to abide by the present club rules and regulations. The applicant will enclose the annual subscription of 5.00 joint or 4.00 single plus 1.00 for any additional members of the partnership. AGREE / DISAGREE

City/Town:

_____________________________

Post Code:

_____________________________

Tel No.:

_____________________________

Email:

_____________________________

 

Date:

_____________________________

 

 

 

Signature/s

____________________________________________________________

 

(All applicants)

 

 

Proposed by

____________________________________________________________

 

(Name & Signature)

 

 

Seconded by

____________________________________________________________

 

(Name & Signature)

 

* NEW APPLICANTS MUST ENDEAVOUR TO OBTAIN SIGNATURES OF TWO CURRENT MEMBERS OF THE CLUB WHEREVER POSSIBLE.

 

For club use ONLY *

 

 

 

Date approved by committee:

_____________________

Rec No.

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Date processed by treasurer:

_____________________

R.V No.

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