Application Form

First Name

Preferred Name

Surname

Address

Post Code

Telephone Number

Mobile Number

Email address

Age Group

Under 18………… 18 – 45……….. 46 – 65…………. Over 65…………

I hereby request membership of the Wellington Petanque Club.

I agree to my details above being held by the club and to be made available only to other members of the club for purposes of promoting club activities.

I certify that I have read and understood the Constitution and will abide by it. I further confirm that I will arrange to purchase a club shirt of my own choosing from the provided list, which the club encourages members to wear at our meetings, and which is compulsory when playing in matches.

Fees for 1st August 2020 – 31st July 2021

Initial joining fee of £10-00 plus a pro rata annual fee of £1-25 per complete calendar month.

Under 18, initial joining fee of £10-00 with free annual membership.

Cheques should be made payable to Wellington Petanque Club

Signed

Application can be made by email sending the above information to the Secretary at Richardelloway@gmail.com

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