York Knavesmire Harriers – Membership application form
Thanks for expressing interest in our club. Please complete and return this form with payment as explained
below. Once processed, we’ll confirm your membership, tell you how to order your official running vest and
will look forward to welcoming you to our club. If you have any questions, please get in touch.
Alistair McQueen, New Members Secretary (e-mail:firstname.lastname@example.org)
First name Title
Last name Gender
Address Date of birth
Post code Application date
Second-claim members (if applicable) do not need to pay to join our club, however we do require your
above personal details, your UKA number and the name of your first-claim club.
Other running club(s) details (if applicable)
(i.e. First-claim club and your UKA number)
Any coaching qualifications? (level / event)
How did you hear about our club?
Date of joining Cost of annual membership
Jan to April £24
May to August £18
September to December £12
Note: 17 year olds and full-time students pay £12 and pensioners receive a £1 discount.
Method of payment (please tick method chosen) By cheque
By online banking
By cheque Please make cheques payable to ‘YORK KNAVESMIRE HARRIERS’,
and send with this completed form to the address below.
Or by online Please transfer your payment to the following account:
Recipient Bank: HSBC
Sort code: 40-47-31
Account number: 81684094
Account name: York Knavesmire Harriers
Reference: “YOUR NAME” - Important to include this bit!
And also send this completed form to the address below.
Postal address New Members, 97 Centurion Square, Skeldergate, York, YO1 6DE
e-mail address email@example.com
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