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Send after nominations have been obtained to the Hon. Secretary, with a cheque for £25-00 payable to the Probus Club of Ewell.

 

_________________________________________________________________________

PROBUS CLUB OF EWELL

LUNCHEON MEETING HELD AT BOURNE HALL ON THE FIRST WEDNESDAY OF EACH MONTH UNLESS OTHERWISE ADVISED

APPLICATION FOR MEMBERSHIP

NAME (In full) ____________________________________

ADDRESS________________________________________

____________________________________________________

____________________________________________________

POST CODE___________________ TELEPHONE NO:____________________

E-MAIL ADDRESS________________________________________________

DATE OF BIRTH_________________________________________________

TRADE OR PROFESSION

PRIOR TO RETIREMENT___________________________________________

SPOUSE’S CHRISTIAN NAME________________________________________

PROPOSED BY___________________________________________________

SECONDED BY___________________________________________________

PLEASE STATE THE CHRISTIAN NAME BY WHICH YOU PREFER TO BE ADDRESSED AND WHICH YOU WOULD LIKE TO BE SHOWN ON YOUR NAME BADGE :-

_________________________________

I understand Rule 14 of the Club Rules which states, inter alia, that inability to attend a Meeting must be notified to the nominated Committee member not later that mid day on the Monday preceding the Meeting. Failure to comply with this Rule will render the Member liable to meet the cost of the luncheon not so notified.

SIGNED_______________________________________

DATE__________________________________________

__________________________________________________________


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Last modified: 11-Aug-2011

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