MEMBERSHIP RENEWAL/APPLICATION SEPT 2019-AUG 2020

PENKRIDGE PHOENIX CLUB

MEMBERSHIP RENEWAL/APPLICATION SEPT 2019-AUG 2020

I/We wish to renew my/our membership (or become new members)

delete as applicable

Name/s_______________________________________________________

Address:-_____________________________________________________

_____________________________________________________________

Telephone No:________________________________________________

e-mail address________________________________________________

I/We enclose cheque for £___________(subscription £5 per member)

Subscriptions are due by 1st September. Please complete the above and

returVal, together with a stamped, addressed envelope, to Membership

Secretary:

Mrs. Val Corbett                                  Please make cheques payable to

2 Church Farm Close                          Penkridge Phoenix Club

Penkridge

Stafford

ST19 5LY

PLEASE NOTE:

The details above will be kept on record by Penkridge Phoenix Club

and in order to comply with Government Data Protection Regulations,

you are asked to sign below to signify your consent to this.

 

Signature…………………………………………………………………….

Should you wish to withdraw your consent at any time, please contact

The Membership Secretary and your details can be removed from our

Records.

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