MEMBERSHIP APPLICATION
I, the undersigned,
wish to renew/apply for membership of the above Running Club
NAME: …................................................................................................................
ADDRESS: ....................................................................................................................
....................................................................................................................
…………………………………………………………………………………….
POST
CODE: ......................................................
E-mail Address: ………………………………………………………………………...
(please write clearly)
D.O.B: .............................................................................................
TEL. NO: .............................................................................................
For
the purposes of communication the Club also holds details of telephone numbers
and email addresses. If you do not wish us to hold this information please
leave the above blank. If you do not wish this information to be circulated to
other members please tick this box. [ ]
Are
you a member of another UK Athletics affiliated club or Swindon Triathlon Club? YES / NO
If
‘YES’ which club?
……………………………………………………………………………….
Do you want Swindon Striders as your 1st Claim or 2nd Claim? ……………………….
I understand that I
must abide by the Rules laid down in the Club Constitution at all times.
SIGNED.....................................................................................
OFFICIAL USE ONLY
AMOUNT RECEIVED
£ ......................................... PAID TO: ..................................
(Committee Member)
DATE:
……………………........... AGE CATEGORY ........................................
1stClaim/2nd Claim
RECEIVED MEMBERSHIP
CARD ………………… EMAIL ADDRESS ADDED TO LIST
…………