Barrow & District H F Rambling Club
  
APPLICATION FORM
 

  1.     SINGLE MEMBERSHIP (£6.00 per annum)

 
Surname (Mr., Mrs., Miss, Ms.) .........................................
  
Christian Name  .................................................................
  .   
 OR
 
2.     FAMILY MEMBERSHIP (£10.00 per annum)
 
Surname (Mr.)  ......................................................................  Christian Name  ............................................. 
 
Surname (Mrs.) .....................................................................  Christian Name   ..............................................
 
Christian Names of Children               and        Age (if under 18)
 
…………………………..................            ……..             

 …………………………………….            ……..
 
…………………………..................            ……..              

 
3.     ADDRESS     …...........................................................

…........................................................................................... 
 
...............................................................................................  
 
                                                      Postcode   ….................. 
  
Home telephone No. ……………….....................................
 
Mobile…………………………...........................................
 

Email address:    …................................................................



Please send the completed form with the appropriate fee to:
    The  Membership Secretary
    Barrow HF Rambling Club                        
    11 Ann Street
    Dalton-in-Furness
    LA15 8BG
                 - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Signature of Officer....................................................... Date.....................

Signature of Officer....................................................... Date.....................