APPLICATION FOR HOUSE MEMBERSHIP

Name in Full

(Mr., Mrs., Ms., Miss.,

Master.) ………………………………………………………………………….………..

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

…………………………………………………………………………………………….

Post Code ………………………….

Telephone No. …………………….. Work Telephone No. ………………………

Mobile No. ………………………… Date of Birth ………………………

E-Mail Address …………………………………. Occupation ……………………..

I agree to accept and abide by the Rules and Bye-laws of the Club presently in force or as they may be amended from time to time. I further understand that I can sign in three guests in any one day, providing I stay with them.

Signed by Applicant ________________________________________________________

Signed by Proposer Signed by Seconder

_________________________ _________________________

Please print name Please print name

_________________________ _________________________

Acceptance of membership must be approved by the Management Committee of the Club.

A fee of £20 will be required on receiving acceptance of membership.

£20 Received ____________________________

For office use