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    Membership Application

Print this form and complete it with your details, then send it to Dave Sherwood, the club membership secretary at 2 Buckingham Close, Alton, GU34 1QZ enclosing a cheque for £10 to cover the first year subscription.

Surname ___________________________

First name __________________________

Date of Birth__________________________

         Title  ________________ Mr/Mrs/Ms/Dr/ Lord/Lady/HRH etc.

Address 1 __________________________

Address 2 __________________________

Address 3 __________________________

Address 4 __________________________

Address 5 __________________________

Home Phone ________________________

Day time Phone ______________________

Email ______________________________

 

Signed ____________________________  Date ___________________

I agree to the above details being held on the Club's database for the purpose of mailing newsletters and managing the subscription renewal process.