Northampton West End Bowls Club

Mendip Road, Northampton, NN5 6BA

Telephone: 01604 583702

 

APPLICATION FOR MEMBERSHIP

 

Title;

 

First name: ..

 

Last name:

 

Address:

 

 

Post Code: ..

 

Home Tel. No: . Mobile Tel. No: ..

 

email address: .

 

Date of birth (If under 18): ..

 

 

Signature: . Date: .................

(parent/guardian if under 18)

 

Proposer: ..

 

Seconder: ..

 

Name of previous Club: ...

 

Please return completed form as soon as possible to:

 

Mr R Summers (Hon Secretary)

180 Weedon Road

St James

Northampton

NN5 5DA (01604 757854)

 

 

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

F O R S E C R E T A R YS U S E O N L Y:

 

The Northampton West End Bowls Club have accepted/ not accepted*

the above application

 

* delete as appropriate

 

Signed: . Date:

(Application form printed from web site www.tameclan.me.uk/westend)