Worcester
St Johns CC
Membership form
Home
Please print this form and complete the information
then send it with the relevent membership fees to
Dave Jennings
The Croft
Stonehall Common
Worcester WR5 3QG
| Number | Type | Fee | Total |
| Senior Members | @ £10 | £ | |
| Family Membership | @ £12 | £ | |
| Junior Member | @ £5 | £ | |
| Second Claim Member | @ £8 | £ | |
| Grand Total | £ | ||
| Membership details | |||
| Rejoining Member | Y / N (please indicate) | ||
| Forenames | |||
| Surname | |||
| Male / Female (please indicate) | |||
| Address | |||
| Postcode | |||
| Telephone | |||
| Date of Birth | |||
| Additional Names | (Family Membership only) | ||
| 1 | |||
| 2 | |||
| 3 | |||
| 4 |
Your details will not be passed to any other source for any reason without your express permission in writing.
For more information Email postmaster@worcester-st-johns-cc.org.uk
Top - Home