|
Membership Application and Renewal Form 2008/9 Title: Mr/Mrs/Ms/Miss Surname: …………………………… Forename: ………………………….. Address:………………………………………………………………………………………………..………. ………………………………………………………………………………….Post Code:………………… . Telephone No:.. ……………………….…………. Club Entry Card No:….………………………………** | Age Group | 16-44 | | Over 45 | | Registered Disabled | | Email address:…………………………………………Ethnic 0rigin…………………………………… Membership Type: Full/Family/Day+/Social/Family Social/Student Main Sport: Badminton/ Squash/TT/Bowls For Family Membership 2nd Adult Title: Mr/Mrs/Ms/Miss Surname:……………………………Forename: ……………………………. | Age Group | 16-44 | | Over 45 | | Registered Disabled | | 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 1st September or from the date of acceptance of membership. All membership expires on 31st 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 …………………………. | For Office use | Approved | | Entered | | | | 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
|