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Land Rover Social & Athletic Club

MEMBERSHIP APPLICATION FORM

Name                                                                                CN/Staff No .......................

Address

Dept 

Proposed by

Seconded by

IF ELECTED TO MEMBERSHIP I AGREE TO ABIDE BY THE RULES AND BYE LAWS GOVERNING THE CLUB

Signed ....................................................................................

 __________________________________________________________________________________________

To: PAYROLL DEPARTMENT

I WISH TO BECOME A MEMBER OF THE LAND ROVER SOCIAL & ATHLETIC CLUB. WOULD YOU PLEASE ARRANGE FOR SUBSCRIPTIONS OF 20p PER WEEK TO BE DEDUCTED FROM MY WAGES/SALARY PAYABLE TO THE CLUB.

Name                                                                                                         CN/Staff No

Dept

Signed........................................................

RETURN THIS PORTION TO YOUR PERSONAL DEPARTMENT  (Tear along dotted line)