Application Form

Barrow & District H F Rambling Club

APPLICATION FORM

1. SINGLE MEMBERSHIP (£6.00 per annum)

Surname (Mr., Mrs., Miss, Ms.) .........................................

Christian Name .................................................................

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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)

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

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...............................................................................................

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

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

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