MEMBERSHIP APPLICATION FORM

Please complete in BLOCK LETTERS

NAME ___________________________________________ DATE OF BIRTH ___/___/______
ADDRESS __________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
POST CODE _______________ TEL NUMBER ______________

I hereby apply for Membership of the Ribble Enthusiasts' Club and agree to abide by the Rules, a copy of which will be sent to me.

SIGNED _______________________________ DATE _________________

Membership fee for current year £13.00

Please make ALL Cheques / Postal Orders payable to RIBBLE ENTHUSIASTS' CLUB and return completed form to: REC Membership Secretary,
Mr R Downham, 203 Brindle Road, Bamber Bridge, PRESTON, Lancs, PR5 6YL

          Please tick:

FORM OBTAINED FROM: *SALES STALL    *SECRETARY    *INTERNET    *OTHER   
HAVE YOU PREVIOUSLY BEEN A MEMBER OF THE RIBBLE ENTHUSIASTS' CLUB? YES#    NO#   
[* - for club statistics only]           [# - Wherever possible former members are given their old number back]
NOTE: ALL information shown above is for REC record purposes only and will not be divulged to a third party.
Official
Use only		 RECEIVED            CREDIT:               
                    £     :    p		 MEM. NO.