Woodcoombe

Sports & Social Club

Church Road, Murston, Sittingbourne,Kent,ME10  3RT Tel:01795 423244      

www.woodcoombe.com

Lapsed Membership Renewal 2009/2010

Surname______________________________First Names_____________________

Membership held From ___________________to____________________________

Old Membership No.if known________Date of Birth_____________Home Tel:______

Address____________________________________________Post Code_________

e.mail_____________________________________Mobile______________________

Membership Required (TICK)

Full Membership  (£20.00)  _________

Details of those related to Member, "Spouses etc" and Children under "18"

Children over 18 are required to have membership of their own.

N.B. If a child becomes 18 they must upgrade to full membership during that year, but do not pay a fee until renewal next year

Surname       Christian Names            Relationship        Date of Birth        Age

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Signature of Member___________________________Date___________________

Enclose any fees with form and return to the Club. Allow 7 days for the applicationto be processed.

Cards are valid to use until the 31/05/2010

All Information contained in this form will only be used for Club proposes and will NOT be shared with third parties.