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Membership Signup Form

Your First Name:
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Your Last Name:
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Your full address including post code:
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Your home phone number:
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Your mobile phone number:
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Your date of birth:
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Your email address:
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Have you served in the forces?
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If yes service number:
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Which service did you serve in:
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Have you ever been banned from licensed premises by a Court, Pub watch Scheme or similar? (If yes, please supply details):
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How would you like to pay for your membership:
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Who is the member who has referred you? Please include there membership number.
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Please upload a passport style photo for your membership card.
Upload your photo.
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Do you allow your data to be stored electronically? (Required)
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1st Year’s fee will be £20 this is to cover administration costs & fees.

After this fees will be charged at the annual renewal rates.

PLEASE NOTE ALL SUBSCRIPTIONS RUN FROM 1ST January to 31ST December each year .

Personnel information is for club use only