Avro Golf Club - Membership Form

MEMBERSHIP FORM 2012

APPLICANTS DETAILS:
SURNAME:				OCCUPATION:
FORENAME(s):				TELEPHONE NO:
ADDRESS:				MOBILE NO:
				EMAIL:

POSTCODE:
DATE OF BIRTH:

PLEASE NOTE CERTAIN CONDITIONS APPLY TO QUALIFY FOR FULL, INTERMEDIATE OR STUDENT MEMBERSHIP. HOWEVER, ASSOCIATE MEMBERSHIP HAS THE SAME STATUS AND PRIVILEGES AS FULL MEMBERSHIP. MEMBERSHIP CLASSIFICATION APPLIED FOR (TICK AS APPROPRIATE):

FULL (BAE EMPLOYEE)			ASSOCIATE AND 5 DAY			JUNIOR - NO JOINING FEE
JOINING FEE		£185 or £40/year for 5 years	JOINING FEE		£245 or £55/year for 5 years		MALE		FEMALE
SUBSCRIPTIONS			SUBSCRIPTIONS			SUBSCRIPTIONS
	FULL MALE	£424		ASSOCIATE MALE	£450		UNDER 18 YRS	£45
	FULL FEMALE	£424**		ASSOCIATE FEMALE	£450**
				5 DAY MALE	£405
				5 DAY FEMALE	£405**
INSURANCE		£3	INSURANCE		£3	INSURANCE		£3
	** FOR A LIMITED PERIOD ONLY, LADY SUBSCRIPTION RATES ARE DISCOUNTED AS FOLLOWS:
	Full Female £392			Associate Female £416			5 Day Female £375


MR. L G FOWLER	HOW DID YOU HEAR OF AVRO GOLF CLUB?
MEMBERSHIP SECRETARY		OUR WEBSITE
69 COPPICE ROAD		MEMBER RECOMMENDATION
POYNTON		LEAFLET DROP NOTICE
STOCKPORT		LOCAL PRESS
SK12 1SL		DIRECTION SIGN ON CHESTER ROAD
TEL: 01625 876780
EMAIL: lesf69@talktalk.net


IF YOU PREFER YOU CAN FIND A PRINTER FRIENDLY VERSION HERE, PRINT IT, SIGN IT AND SEND TO THE ADDRESS ABOVE.