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SONNING HOCKEY CLUB MEMBERSHIP FORM 2009 - 2010 - DOC

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SONNING HOCKEY CLUB MEMBERSHIP FORM 2009 - 2010 - DOC Powered By Docstoc
					  SONNING HOCKEY CLUB MEMBERSHIP FORM 2009 - 2010
                        Please complete this form and return directly to me (details below) with your fee,
                        or hand in at the club, over the bar, FAO me.
                        DO NOT put in the treasurer’s box or give to your Captain.
                        Please help your club by paying your membership fee promptly.

FORENAME                                                           SURNAME
ADDRESS


POSTCODE
HOME TEL                                                               EMAIL ADDRESS
WORK TEL
MOBILE
Date Of Birth

MAIN CLUB MEMBERSHIP NUMBER (to be assigned if new member)
SPOUSE / PARTNER / CO-HABITEE
OCCUPATION / *COURSE DETAILS with end date

 In case of illness or injury whilst taking part in club activities please give alternative contact information
NAME                                                                   HOME TEL
ADDRESS

                                                                       MOB TEL


 The following information is helpful for our records especially when applying for accreditation and/or funds to help our club

ETHNICITY                                                          Do you have a disability?
White:   British  Irish  Other 
Mixed:   White & Black Caribbean  White & Black African          Please state if any hockey coaching, hockey umpiring or PE
Mixed:   White & Asian  Other                                    qualification held
Asian:   Indian  Pakistani  Bangladeshi  Other 
Black:   Caribbean  African  Other 
Chinese                                                           I hold an up to date CRB check issued through
Other 

Please highlight or circle membership type – all memberships include Main Club fee
                                      Please deduct £39 if you pay your main club fee by Payroll or Standing Order or you are a
1. Full Membership £139               member through your spouse/partner/co-habitee.
2. Associate Membership £89           Associate membership is at the discretion of the committee.

3. Full time student (over 18) £57    *Please give details above
4. Registered Unemployed £57

Please highlight or circle your method of payment
1. Cash 2. Cheque                                   3. Bank Transfer
           payable to Sonning Hockey Club           RCB Sonning Hockey Club
           (please write your cheque card number on Sort code 30-91-11 Account Number 03840865
           back of cheque)                          reference SUBS+first name+last name+postcode

Players will not be entitled to play in matches if subscriptions remain unpaid after 31st October

Match fees will apply – please see fixture card or website for details

Thank You for your prompt payment,
Membership Secretary –
Liz Weeks, 145 Woodward Close, Winnersh, Wokingham, Berks, RG41 5UT
tel 0118 978 4575 mob 0789 422 1791 lizweeks@btinternet.com

				
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