I, the undersigned desire to become a member of the above Club. If elected, I agree to abide by the Rules and Regulations of the Club, for the time being in force.

I declare that I am aged 18 years or over.

DETAILS OF THE APPLICANT

 

Name   …………………………………………………………….. 

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

              

            ………………………………………………………….................

            

            ..................................................................        

Occupation  …………………………………………………………………………

 

Signature      ……………………………………………………………..

DECLARATION TO BE SIGNED BY THE PROPOSER & SECONDER

The applicant is known to me and I am prepared to vouch for his/her respectability and fitness to be a member

Signed     ……………………………………                                 ………………………………………

                   (Proposer)                                            (Seconder)

Dated this    day of    20

The above application must be accompanied by a deposit of £           subs. plus 50p for a copy of the rules, all of which will be refunded if the applicant is not accepted.