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Membership Form

APPLICATION FOR MEMBERSHIP 2005

SUBSCRIPTION CATEGORY (Circle Category)

1 Full (€50) - 1 Full Playing (€100) - 1 Student Playing (€50) - 1 Unwaged (€25)

1 Student (€25) -  1 OAP (€10) - 1 Juvenile (€25) -  1 Social (€ 30)

NAME:

ADDRESS:

PHONE NO:                             MOBILE:

E-MAIL:

(juvenile)

PARENTS NAME(S):

DATE OF BIRTH:

(student/juvenile)

NAME & ADDRESS OF PROPOSER 1:

NAME & ADDRESS OF PROPOSER 2:

note: both proposers must be full club members

PLEASE COMPLETE THE ABOVE AND RETURN TO BOX IN CLUBHOUSE WITH MEMBERSHIP FEE

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