Application for Membership 1999

 

I wish to apply to join the Colenorton Dragon Boat Club

 

 Membership Type

 

Full Member: (Single Adult Member) £60.00 p.a

 

Family Member: (2 people from a family or partnership living at the same address) £110.00 (for two) p.a

 

Junior/Student Member: £35.00

 

Full Member

Family Member

Student/Junior Member

 

 Personal Information

 

First name

 

 

Last name

 

 

Street address

 

 

Town/City

 

 

County

 

 

Postal Code

 

 

Phone

 

 

Mobile

 

 

E-mail

 

 

 

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