MEMBERSHIP APPLICATION FOR THE YEAR TO

31ST MARCH 2009

I hereby apply to join EMBER SPORTS CLUB and, if approved, agree to abide by the Rules of the Club and by the Rules of any Section of the Club to which I am elected.

 

Mr/Mrs/Miss/Ms.………………………………………….……………………D.o.B if under 18……………

                                    (first name  /  surname)

 

Address   ……………………………………………………………………………..…………………………

 

…………………………………….……………………………………….…Postcode  ……………………..  

 

Home phone  …………………………………   Mobile phone (optional)……………………………………

 

E-mail address (for internal club use only) ………………………………. ..... ……... ……….…………...…

 

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

 

Signed by Parent if applicant under 18  …………………………………              Date  ……………………

SECTION	CATEGORY	TICK	AMOUNT DUE (see rates overleaf)
BOWLS	ANNUAL		£
CROQUET	ANNUAL		£
DRAMA	ANNUAL		£
TENNIS	STANDARD ANNUAL		£
	FAMILY ANNUAL **		£
	MIDWEEK ANNUAL		£
	STUDENT ANNUAL		£
	JUNIOR (UNDER 18)		£
	WINTER STANDARD		£
	WINTER MIDWEEK		£
SOCIAL ONLY	ANNUAL		£

(**)  See also supplementary form                                                                                        TOTAL AMOUNT    £
Proposer		If you do not already know anyone in the club who can propose and second your application, please leave blank
Seconder
Approved by Section C’tee		Date

 

PLEASE SEND COMPLETED FORM AND CHEQUE PAYABLE TO “EMBER SPORTS CLUB”

TO THE APPROPRIATE SECTION SECRETARY

IF YOU HAVE ANY QUERIES, CONTACT MALCOLM BAIRD ON 020 8398 4622