The friendly Walkers

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                                  Membership Application Form

 

I wish to join the Northampton Ramblers. My details are printed below. (If more than one person wishes to join, please complete one of these forms per person and post them all in one envelope. Thank you)

 

Please print as clearly as possible to avoid errors

 

Please circle as appropriate:-                Mr      Mrs      Ms       Miss             Adult member            Junior Member

 

First Name: ……………………………………..  Last Name: ………………………………………………………………………………………

Address: ………………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………Post code: ……………………………………………

Telephone Number (including dialling code) ……………………………………………………………………………………………….

Mobile Number …………………………………………………………………………………………………………………………………………..

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E-mail Address (PLEASE WRITE EACH CHARACTER CLEARLY)

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……………………………………………………………………………………………………………………………………………………………………

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Under the Data Protection Act 2018, I consent to the information contained here, to be used in the lawful manner in running the club; upon resigning from the club it will be deleted within 2 months of such date.

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I enclose a cheque for £5.00 – Adult membership

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I enclose a cheque for £1.00 – Junior membership (maximum age 17)

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Please make cheques payable to Northampton Ramblers and send to: Alan Page, Treasurer/Membership Secretary, 15 Laburnum Crescent, Abington, Northampton, NN3 2LF (e-mail: alanandwendy97@hotmail.com / telephone 01604 643631 )

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To pay via bank app, use Northampton Ramblers, account no. 17128137, sort code 54-10-44 quoting your name for reference.

 

All subscriptions are due for renewal on April 1st each year.

The club holds 3rd party insurance.

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Signed ……………………………………………………………………… Dated ………………………………………………………………………

 

 

 

 

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