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Membership Application

First Name:        Last Name:


Address:    


Town:        


Post Code: 


Telephone:


Date of Birth (dd/mm/yyyy):


E-Mail:        


Membership Type:       Existing Mem. No. (if known)     



I hereby declare my agreement with and adherence to, the purposes of the club as shall be required by the club committee.

The Centre reserves the right to reject an application. Successful applicants will be notified and advised when and how to
collect their membership card. Renewing members should bring their membership card to the Centre for updating.



Please ensure your details are correct before sending this form.