HAVERHILL WHEELERS
MEMBERSHIP APPLICATION 2012 1st.January to 31st. December
NAME___________________________________ DATE OF BIRTH_______________________ ADDRESS_________________________________________________________________
TOWN______________________________
TELEPHONE_________________________
COUNTY____________________________
POST CODE_________________________
SUBS
£15.00 FAMILY
£8.50 SENIOR (18+)
£6.50 JUNIOR (16+)
£3.00JUVENILE (UNDER 16)
ONE FORM TO BE COMPLETED BY EACH PARTICIPATING MEMBER
CLUB EVENTS £10.00 EVENING TIME TRIALS APRIL-AUGUST
I ENCLOSE TOTAL PAYMENT OF £___________
DATE_____________________________
SIGNED___________________________
SEND ALL PAYMENTS TO P.WISEMAN CLUB TREASURER ALL CHEQUES
MADE PAYABLE TO " HAVERHILL WHEELERS"
MR.P.WISEMAN
19 PASKE AVENUE HAVERHILL SUFFOLK CB9 8BX
TELEPHONE : 01440 702011
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