Membership Application Form
2007 - 08
Membership No. ………….

 

NAME ………………………………………………………D.O.B. (if under 18)………

 

NAME ………………………………………………………D.O.B. (if under 18)………

 

NAME ………………………………………………………D.O.B. (if under 18)………

 

NAME ………………………………………………………D.O.B. (if under 18)………

(Please list all members of family and dates of birth of children)

 

ADDRESS ……………………………………………………………………………..

…………………………………………………………………………………………..

…………………………………………………………..Postcode…………………..

 

Email address ………………………………………………………………………..

 

Tel. No. ………………………………….. Type of membership: Family / Individual

 

Date membership paid ……………………………… Amount £……………………

 

Family Membership (up to 4 people) £50 additional family members at the same address £12.50

Inidividual membership £25

Membership runs from 1st October 2007 to 30th September 2008

Do not post this form - bring it along to Lions on a Sunday morning
(8 - 10 am) to complete the registration process.