TYNE ROAD CLUB

 

APPLICATION FOR MEMBERSHIP

 

The cost of membership of the Tyne Road Club is currently £5.00 with an annual fee of £5.00.

 

Please post completed application form and membership fee to:-

 

Mr M Glass, Tyne Road Club General Secretary, The Old Blacksmiths Cottage, Mitford, Morpeth, NE61 3PR

 

 

DETAILS OF APPLICANT

 

Surname                   ______________________________________

 

First Name                ______________________________________

 

Date of Birth            ______________________________________

 

Address                    ______________________________________

                                    ______________________________________

                                    ______________________________________

                                    ______________________________________

Postcode                  ______________________________________

 

            Telephone No.        ______________________________________

 

 

 

Whether applying for first claim, second claim or associate membership (state which):-    

                                                ______________________________________

 

If applying for second claim membership, name of first claim club:-

                                                ______________________________________

 

Whether already a member of the CTC, BCF or other and if so which:-                                                 ______________________________________

 

 

DECLARATION

 

I apply for membership of the Tyne Road Club, and agree to abide by the Club Rules.  I enclose a cheque payable to the TYNE ROAD CLUB  for the first years membership fee of £5.00. 

 

Signed                       ______________________________________

 

Date                           ______________________________________

 

 

CLUB USE ONLY

 

Proposed by    ___________________          Approved by    _____________________

                                                                        Committee

Seconded by    ___________________          Accepted by     _____________________

                                                                        club