DUNFERMLINE SPORTS CLUB

APPLICATION FOR MEMBERSHIP

Title _______ Forename(s) _________________________ Surname ______________________

Address _________________________________________________________________________

_____________________________________________ Postcode __________________

Tel. (Home) _________________ Tel. (Bus.) ________________ Tel. (Mob) _________________

Date of Birth ___________________________ Occupation ________________________________

If in full-time education, give details _____________________________________________________

Applicant's signature ______________________________ Date of Application _________________

CATEGORY OF MEMBERSHIP APPLIED FOR:-

* ORDINARY (FULL)/ASSOCIATE (SOCIAL ONLY)

(NB As required by respective constitutions, to be a member of Dunfermline Rugby Club, Dunfermline Cricket Club or Dunfermline Squash Club, you must be an ordinary (full) member of Dunfermline Sports Club).

ADDITIONAL CATEGORIES OF MEMBERSHIP APPLIED FOR:-

* DUNFERMLINE RUGBY CLUB - PLAYER/PATRON

* DUNFERMLINE CRICKET CLUB - PLAYER/PATRON

* DUNFERMLINE SQUASH CLUB - PLAYER/PATRON

* Delete categories which do not apply.

Proposer Name _________________________________

Signature ______________________________

Seconder Name _________________________________

Signature ______________________________

Note: Applicants for membership of Dunfermline Sports Club must be proposed and seconded by two members of at least one years standing or founder members.

This form should be returned to the Membership Secretary: Alastair Dodds, 48 Farnell Way, Dunfermline, KY12 0SR (Tel. 01383 727792).

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FOR OFFICIAL USE ONLY:

Granted/Refused

Date