Membership Application and Renewal Form 2008/9

Title: Mr/Mrs/Ms/Miss        Surname: …………………………… Forename: …………………………..

Address:………………………………………………………………………………………………..………. ………………………………………………………………………………….Post  Code:…………………  .

Telephone No:.. ……………………….…………. Club Entry Card No:….………………………………**

Email address:…………………………………………Ethnic 0rigin……………………………………

Membership Type: Full/Family/Day+/Social/Family Social/Student        

Main Sport: Badminton/ Squash/TT/Bowls

For Family Membership 2^nd Adult

Title: Mr/Mrs/Ms/Miss        Surname:……………………………Forename: …………………………….

Ethnic Origin……………………………….Telephone Number:……………………………….

Main Sport: Badminton/ Squash/TT/Bowls

Juniors

                Surname                               Forename                             Date of Birth                         Sport

1              ……………………………………………………………………………………………….B/S/TT

2              ……………………………………………………………………………………………….B/S/TT

3              ……………………………………………………………………………………………….B/S/TT

4              ……………………………………………………………………………………………….B/S/TT

5              ……………………………………………………………………………………………….B/S/TT

Total Fee Payable £__________

Method of Payment:                           Cash/Cheque/Standing Order

I, as the Applicant, acknowledge that upon my/our membership being accepted/renewed the full subscription is due and payable at 1^st September or from the date of acceptance of membership. All membership expires on 31^st August each year. I agree to abide by, and undertake responsibility for all the above applicants abiding by, the Club Rules and any Bye-Laws as published from time to time.

I wish to introduce ………………………………… to the Club on the special terms of £10 for their first year’s membership. Their completed application form* is enclosed.

Signed …………………………………. Date   ………………………….

Donation:

I wish to make a donation of ………………………… to the Littlehampton Badminton & Squash Club.

I am a tax payer and wish the Littlehampton Badminton & Squash Club to reclaim tax on all donations I made from 6 April 2000 and all future donations I make hereafter.

Signed ………………………………. Date…………………………………..

·          * Please copy this form or obtain a form from the Club.

·          ** The card number consists of two four digit numbers, e.g. 3093  4093