Membership Form 2010

Macclesfield Waltonians Annual Membership Form 2010
PLEASE READ CAREFULLY AND NOTE THE CHANGE IN MEMBERSHIP SECRETARY AND ADDRESS FOR 2010
I wish to: JOIN  or REJOIN .
All membership details are required (except for email address) clearly marked using BLOCK CAPITALS ONLY.
MEMBERSHIP NO.
(REJOINING ONLY)
FIRST NAME
LAST NAME
ADDRESS
TOWN
COUNTY
POST CODE
DATE OF BIRTH
(DD.MM.YYYY)
EMAIL ADDRESS
(name@youraddress.com)
CONTACT NUMBER
Failure to complete all sections of this […]