Essex County Council Staff
Sports & Social Club
Tel: 01245 430342
Retired Membership Application Form
PLEASE READ THESE NOTES CAREFULLY
1. Applications for retired membership must have been former members of the ECC Staff
Sports & Social Club. Any misconduct or breach of Club Rules may lead to suspension
or withdrawal of retired membership.
2. If an application is rejected the subscription will be refunded
3. Subscription for retired membership is £15.00 upon application. This entitles retired
membership for the life of the member.
4. Retired members may join the club lottery (£12 per share per annum) or continue their
lottery membership accordingly.
5. A retired membership card will be forwarded upon approval of the retired membership
application and your existing membership card should then be returned to the
Date of Application:
Previous membership card No.
I enclose a cheque for £15.00 I wish to join / continue membership of the
(Cheques should be crossed and payable to ECC Staff Sports and Social Club Lottery and
ECC Staff Sports & Social Club) enclose £12 for one years membership.
Please return Applications to the Membership FOR OFFICIAL USE
Secretary at the address shown above.
Received Date Initial
Approved / Rejected
Card No. Date