Membership Application
To apply for membership please complete all questions.
Date of Application
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Take Photo
*
Name
*
First Name
Last Name
Proposed by 1st
*
Member name and Membership No (if known)
Proposed by 2nd
*
Member name and Membership No (if known)
Signature
*
Date of Birth
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date of Birth
Address
*
Street Address
Street Address Line 2
City
County
Post Code
E-mail
Telephone No
Contact telephone number
Membership Type
*
Under 60 £30
Over 60 £25
Select Under 60 or Over 60 membership
Payment type
*
Pay on collection
Payments must be made at the club prior or upon collection. Please infrom staff that when paying it is for a NEW online Application
Apply for Membership
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