| GROOMBRIDGE
CLUB APPLICATION FORM 2011 |
| TITLE |
FIRST
NAME |
SURNAME |
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Address
1 |
|
Address
2 |
|
Address
3 |
Post Code
|
Telephone |
|
Fax |
|
Email |
|
| TYPE
OF MEMBERSHIP |
NUMBER |
PRICE |
TOTAL |
| NON-GROOMBRIDGE
RESIDENTS |
|
| Individual
Adult |
|
£32.00 |
|
| Individual
Senior |
|
£22.00 |
|
| Individual
Child (3 -12 years) |
|
£18.50 |
|
Family
(2 Adults & up to 3 children 3 -12 years) |
|
£92.00 |
|
| GROOMBRIDGE
RESIDENTS |
|
| Individual
Adult |
|
£21.00 |
|
| Individual
Senior |
|
£17.00 |
|
| Individual
Child (3 -12 years) |
|
£15.50 |
|
Family
(2 Adults & up to 3 children 3 -12 years) |
|
£68.00 |
|
TOTAL
AMOUNT |
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