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TROJANS CLUB |
Trojan Pirates Membership - Year commencing 1st September 2006
In order to be a member of the newly formed PIRATES you must either already be paying a membership fee to Trojans, be a life member or pay the new Pirates membership fee of £30 per annum.
If you are exempt from paying the PIRATES fee, you should still complete this form so that your details can be registered. You will then receive information about PIRATE events.
Please complete all sections of the form and return with full payment.
Personal details
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Surname: |
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Forename: |
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Mr/Mrs/Ms/Miss/Other: |
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Address: |
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Date of Birth: |
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Home Tel: |
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Work Tel: |
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Mobile Tel: |
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I am applying for membership of the Trojan Pirates
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Membership Category |
Annual |
Please tick |
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1 |
PIRATES |
£30 |
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I am exempt from payment because:(Please tick all that apply)
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Life Member |
Pay other membership |
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I wish to apply for membership as above. I enclose full payment (cheques made payable to ‘Trojans Club’) and agree to abide by the Club’s rules and regulations.
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Signed: |
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Date: |
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Please return this form to Tony Field at Pineview, Canada Common, West Wellow, SO516DH or to the Club Office.