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Team East Haddon
Membership Application 2008/09 |
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To join or renew your existing subscription please complete the details below
The fee due this year is £12 adults, £5 Juniors - if required team running vests
(red with Team East Haddon printed in white on the back) are £10 each
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Your Requirements |
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New/Renewal |
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Membership: |
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Vests @ £10: |
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Size: |
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N.B. Male not available in Small - Female not available in Extra Large!! |
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Personal Information/Contact Details(these will be kept strictly for club administration purposes unless you indicate otherwise) |
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First name |
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Second name |
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Known name |
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Surname |
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House |
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Street |
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Town/Village |
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Post Code |
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Home Phone |
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Work Phone |
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E-mail Home |
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E-mail Work |
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Date of Birth |
Day |
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Month |
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Year |
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Best/Preferred means of communication (tick all that apply): |
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E-mail: |
Home
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Work
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Phone: |
Home
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Work
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I want my personal details to be used for club purposes only |
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Now Print this form and send it with your cheque (made payable to Team East Haddon) to:
Lee Woolerton (Team East Haddon), 8 Tilbury Road, East Haddon, Northampton, NN6 8BX |
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