- RSS Feed Moving (Milton Keynes) September 7, 2010We are about to release our new site with a new look, feel and structure.Part of this release will involve the creation of new RSS feeds and the decommissioning of the current ones.Please take a moment to review the beta site at http://beta.miltonkeynes.co.uk/ . For an uninterrupted service you will need to visit the new site after we go live and subscribe […]
- Mother and daughter killed in blaze September 7, 2010Bodies found 36 after Sunday's fire […]
- Two bodies found in Fishermead fire September 7, 2010Pair thought to be mother and child […]
- Hygiene meets hip-hop in hand-washing video September 7, 2010NHS spending cuts don't apply to rapping nurses […]
- Woman saved from house fire September 6, 2010Thirty other residents evacuated from their homes […]
- Fatal collision closes A5 September 3, 2010Road closed for four hours this morning […]
- City 'Wolfman' in danger of fatal beating September 2, 2010Serious concerns about welfare of homeless Big Issue seller […]
- "I would rather be 24 stone again" September 2, 2010Gastric bypass man says surgery to save him from obesity has ruined his life […]
Posts Tagged ‘form’
Member Application Form
Print This Application Form
APPLICATION FOR NEW MEMBERSHIP
FROM 1 January 2010 – 31 DECEMBER 2010
(PLEASE USE CAPITAL LETTERS)
Surname (Mr.Mrs.Ms.)………………………………………………………
First Name(s)……………………………………………………………………
Address…………………………………………………………………………….
………………………………………………………………………………………..
……………………………………………Post Code……………………………
Telephone No…………………………………..Date…………………………….
Date of Birth (Essential for Records)……………………………………..
Occupation………………………………..Signature…………………………..
Name of Proposer………………………………Member No………………..
Name of Seconder………………………………Member No……………….
MEMBERSHIP FEE TO 31 DECEMBER 2010
C. H. Club New Membership (Male/Female) £………………..(£17.00)
With C.I.U. Affiliated Membership £………………..(£23.00)
(FEE INCLUDES DOOR ENTRY SECURITY FOR)
TOTAL £……………………
Contact email admin@carltonhouseclub.co.uk
.