OHJAC Membership Application 2008/09

 

1st April 2008 - 31st March 2009

Member Details

I agree to abide by the club rules and code of conduct and I am aware that my details will be kept in a computerised database by the Membership Secretary.

 

Signature …………………………………..

 

Date ……………………

 

 

Please hand this form in at the AGM to be held on Wednesday, 5th of March 2008

 

Alternatively it, can be posted to the Treasurer, Peter Fletcher, 25 East Budleigh Road, Budleigh Salterton, EX9 6EJ to arrive no later than Wednesday, 26th March 2008.

Surname

 

Forenames

 

Address

 

 

 

 

 

Postcode

 

Telephone Number

 

Email address

(Please Print Clearly)

 

 

 

I enclose £10.00 renewal fee

 

 

or

 

 

I enclose £15.00 joining fee plus

 

 

£10.00 membership fee

 

 

 

 

 

I am aged over 18