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Application for Membership

PEMBERTON CONSERVATIVE CLUB

APPLICATION FOR MEMBERSHIP

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.


Failure to attend the interview will result in the loss of deposits. 

Completion of this form should not be taken as automatic acceptance for membership.


The deposit is intentionally left blank as fees can vary  if the applicant is of  pensionable age, or the spouse of an existing member.