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Fill out your details below and we will be in touch to welcome you in.

Title

Name

Phone Number

Date of Birth

Email

Occupation

Address

Proposer Name

Proposer's Membership Number

Seconder's Name

Seconder's Memberships Number

Are you happy to receive correspondence from us

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I hereby declare that the above information is correct and, if accepted as a member, I agree to abide by the rules of the club and to accept the decisions made by the committee.

I agree

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