MRC logo
Founded in 1937            President  M. A. Crane
 
Affiliated to : CTC, CTT, WLC & WLCA
 
Application Form for Membership
 
Date :
 
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Name :
 
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Address :
 
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Post Code :
 
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Telephone No. :
 
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Email Address :
 
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Date of Birth :
(if under 18)   
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Previous Club :
(if any)   
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Proposed :
 
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Seconded :
 
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Membership Fee : £ ___________   Annually, payable January

Send the completed form to the Club Secretary,
Richard Clough,
86 Marvell Avenue, Hayes, Middlesex. UB4 0QT