St Georges Sports and Social Club Membership Form
This form should be used to add new members as well as existing members to update their details.
1/. Membership Id. For new members leave blank.
2/. Membership Type (Single £10 - Family £16 - Concession £6)
*
Family
Single
Concession
2a/. Membership Fee (For £16 Family memberships please use £8 as fee paid for each partner)
£8
£10
£6
£0
3/. Title
*
Mr
Mrs
Ms
4/. First Name
*
5/. Surname
*
5a/. If as family membership you have children please enter their full names and ages. If non to include enter 'None'
*
6/. Only require for family/joint members name (Skip Questions 6, 7 and 8 for single or concession memberships)
Mr
Mrs
Ms
7/. First Name of joint member
8/. Surname of joint member
9/. Affiliated Club use Social where a member is not a member via one of the affiliated clubs)
*
Social
Bingo
Bowls
Cricket
Disabled Cricket
Ladies Cricket
Hockey
Ladies Hockey
Poker
Pigeon Flying Club
Old Time Dancing
10/. Date Joining or Date Renewing
*
11/. Email Address (if no email address available enter ' none or n/a'))
*
12/. Telephone Number (if no phone No available enter ' none or n/a '
*
13/. House Number or name
*
14/. Address include street or road name, area Priorslee etc)
*
15/. Town or City
*
16/. Post Code
*
17/. Details of how paid and who took monies
*
Notes and Comments (Include anything relevant here)
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