Woodcoombe

Sports & Social Club

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

www.woodcoombe.com

Membership Renewal 2011/2012

(Applies from the 1^st June to 31^st August 2012)

This Form MUST be with the Membership Secretary before final date above

Surname______________________________First Names_____________________

Membership No._____________Date of Birth______________Home Tel:_________

Address____________________________________________Post Code_________

e.mail____________________________________ Mobile______________________

Membership Required (TICK)

Full Membership  (£20.00)  ____________

Sen.Citizen (£5) __________

Junior Membership (£5) ____________

Honorary Member________________

                 Upgrade Associate - Reached 18 years(Nil)_________

Upgrade from Associate (can only be used if current membership has been renewed) (£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

___________________________________________________________

___________________________________________________________

___________________________________________________________

___________________________________________________________

_________________________________________________________________

Signature of Member__________________________Date____________________

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

Existing Door Entry Cards are valid to use until the 31/07/2011

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