2011 Membership Renewal Form

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2011 Membership Renewal Form Powered By Docstoc
					                    HAMBLETON PADDLERS CANOE CLUB

                                   RENEWAL FORM

                          Please complete this form in block capitals

SECTION A                                   CONTACT DETAILS

Address:



Home Phone Number:                                    Mobile:
E-mail Address:


SECTION B                                MEMBERSHIP OPTIONS


                                               Please identify the type of Membership
                     MEMBERSHIP                you wish to join under by placing a tick
                                                         in the space below:
              Full Membership
              Junior Membership
              Family Membership

   Once you have identified the type of Membership you renewing, you should complete the
    relevant Membership box below.

   If joining as either a Full or Junior Member, please note that only one applicant can be
    considered per form. If more than one person from the same household would like to join and
    this cannot be done through the Family Membership option, then a separate application form
    should be submitted.


MEMBERSHIP DETAILS (Family Membership =Up to two adults and four children)
                                   If yes, please   Can you        What is your current
                    Are you a        state your    swim 25            level of ability?
   Adult’s Names  BCU member?           BCU
                   Please tick box                  metres?       See accompanying notes and
                                   membership     Please tick box  insert appropriate numbers
                   yes         no     number      yes         no    Kayak            Canoe
1.
2.
 Children’s Names  yes         no  Date of Birth  yes         no    Kayak            Canoe
1.
2.
3.
4.
SECTION C                                       THE COST OF RENEWAL

Please fill in the appropriate amount in the space indicated:
       Class of Membership                            Annual Renewal Fee                       Relevant Amount
                                                                                                  Please insert
        Full Membership              £20
       Junior Membership             £15
       Family Membership             £35
       TOTAL AMOUNT ENCLOSED WITH APPLICATION
        Cheques and Postal orders should be made payable to “Hambleton Paddlers”




Lead members Signature
Signed:                                                                                  Date:




Please return your completed Renewal form to the Membership Officer:

Tom Ward
101 Corporation Road,
Darlington,
DL3 6AS
Before doing so, please ensure that:

   You have completed all of the relevant parts of the renewal form
   You have enclosed the appropriate fee
   You have signed the form


                                              For Office Use
Date received:                          Correct fee enclosed?                      Application complete?
                                                  YES/NO                                    YES/NO

Membership approved?                    Membership No:                             Processed       Date
        YES/NO                                                                     by:             notified?

				
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posted:3/14/2011
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