|
MEMBERSHIP APPLICATION/RENEWAL
FORM
I wish to apply for membership
/
renew membership
(delete
as appropriate
) to Hastings Runners , and declare myself an amateur as
defined - "An amateur is one who.
since the age of 16 has never competed for a cash prize or any other
monetary consideration in any athletic sport or game"..Please find my
subscription enclosed as detailed below.
(please tick appropriate category).
For family membership, please give the additional Information of the
other members of the family in the space provided.
Subscription for the year runs from 1st January to 31st
December
Subscriptions for new members received after 1st October valid
until 31st December the following year
These details will be kept on computer. If you have any objections
to this , please tick the box
[
]
Please return this form together with your remittance to the
membership secretary :
|
Steph Miller
Oakdene
25 Woodland Way
Fairlight
TN35 4AU
|
Please provide a stamped self addressed
envelope . |
| INDIVIDUAL
(Senior
over 18 years) |
[
] |
£
13.00 |
| |
|
|
| FAMILY
(Husband
&
Wife and/or
children under 16) |
[
] |
£
20.00 |
| MONTHLY
NEWSLETTER (by
post) |
[
] |
£ 6.00 |
| Date
/
/
|
Total
|
|
| Signed
__________________________________ |
|
|
| SURNAME |
|
|
| FIRST NAME |
|
|
| ADDRESS |
|
|
| |
|
|
| POST CODE
PHONE NO |
|
|
|
email
@ |
| SEX M/F
BIRTH
DATE |
/ |
/ |
|
FAMILY MEMBERSHIP DETAILS
|
|
|
| FIRST NAME |
|
|
| SEX M/F
BIRTH
DATE |
/ |
/ |
| FIRST NAME |
|
|
| SEX M/F
BIRTH
DATE |
/ |
/ |
| FIRST NAME |
|
|
| SEX M/F
BIRTH
DATE |
/ |
/ |
| FIRST NAME |
|
|
| SEX M/F
BIRTH
DATE |
/ |
/ |
|