Membership Application Form
Please complete this form if you would like to apply to become a member of the club. The membership joining fees are payable at the time of applying for membership. If your application is unsuccessful, your payment will be refunded to you. By applying to join the club you agree, if elected, to be bound by the rules and bye-laws of the club. If your membership application is successful, you will be contacted by a representative of the club.
Name
*
First Name
Last Name
Address
*
Address
Address Line 2
Town
County
Post Code
E-mail
*
Contact Number
*
-
Area Code
Phone Number
Occupation
*
Date of birth
*
-
Day
-
Month
Year
Date
Proposed by
*
Members name
Membership Number
*
Seconded by
*
Members name
Membership Number
*
Signature of applicant
*
Date of application
*
-
Day
-
Month
Year
Date
Membership Fees
prev
next
( X )
First year membership
£
15.00
Initial club share - year 1 only
£
10.00
Club share payable on joining the club
Total
£
0.00
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
Submit
Should be Empty: