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| Name | ............................................................................................................................. | ||
| Address | ............................................................................................................................. | ||
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| ................................................. | Post Code | .............................................. | |
Telephone number |
home: |
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mobile: |
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work: |
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Email address |
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Handicap (if any) |
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If you are a member of the Croquet Association, via which club do you pay a registration fee?
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| Subscription rates | Single |
Family |
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| Full | £140 |
£210 |
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| Country | £75 |
£115 |
25 - 50 miles from the club |
| Far Country | £40 |
£60 |
Over 50 miles from the club |
| Student | £35 |
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| Social | £15 |
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Coaching Course |
£20 |
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Refunded on joining |
When completed please send this form and your subscription (making cheques payable to ‘Surbiton Croquet Club’) to the membership secretary:
Tim Wilkins
Oak Tree Cottage
Tapner’s Road
Leigh
Surrey RH2 8NNTel: 01306 611551
email: tim.wilkins@eu.watsonwyatt.com
| Updated 12.xi.08 |
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