2011 spring web version - Merley Community Centre
2011 spring web version - Merley Community Centre
2011 spring web version - Merley Community Centre
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Surname(s): __________________________<br />
First Name(s): __________________________<br />
Occupation(s): __________________________<br />
Date(s) of birth: _________________<br />
Address: ____________________________________<br />
________________________________________________________________<br />
Post Code: ____________ Tel. No._________________<br />
Please provide the name of the member introducing<br />
you to this club:<br />
Members Name:_____________________________________________<br />
Members No: ___________<br />
<strong>Merley</strong> Social Club<br />
New Members' Application Form <strong>2011</strong><br />
I/We agree to abide by the rules and bye-laws of<br />
<strong>Merley</strong> Social Club<br />
SIGNED: ___________________________<br />
DATE: ___________________________<br />
Rates for <strong>2011</strong> Social<br />
Club<br />
Subs<br />
4<br />
Non-refundable<br />
share<br />
Total payable<br />
Ordinary members £15 £1 £16<br />
Seniors - men 65 yrs & over<br />
- ladies 60 yrs & over<br />
£10 £1 £11<br />
Partners of members £07 £1 £08<br />
Please make cheques payable to <strong>Merley</strong> Social Club.<br />
The personal information requested on this form is the<br />
minimum required under the Industrial and Provident<br />
Societies Acts. <strong>Merley</strong> Social Club will use information<br />
provided by members for membership purposes only. Under<br />
no circumstances will this information be disclosed to third<br />
parties. All information is held in accordance with the Data<br />
Protection Act 1998.
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