MEMBERSHIP APPLICATION FORM 2009

NAME    ...………………………………………………….

ADDRESS       ...……………………………………………

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POSTCODE      ...…………………………………………..

TELEPHONE… ………………………………………… (H)

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MOBILE.……………………………………………………….

E-MAIL...………………………………………………………

FEES FOR 2009 MEMBERSHIP

 FULL MEMBER                                £6.00       ……...……  

LIFETIME MEMBER                         FREE       ………...….

    COMMITTEE MEMBER   (Main)       FREE       ………...…..

I hereby apply for membership to Cramlington & District Motor Club

And I agree to be bound by the club rules as set out in the club constitution

Proposed by      ……………………………………………………….

Second by        …………………………………………………………

Signed     …………………………………………………………………

DATE      ……………………….…………………………………………