Red asterisk boxes must be filled in.
Membership Application Form
Name:
*
E-mail:
*
Occupation
*
Phone:
*
Address:
*
City:
*
County
*
Post code:
*
Delails of Children
Number of boys
Boys Ages
Number of girls
Girls Ages
Do you speak French?
*
Good
Get By
Very Little
None
Are you a smoker
*
Yes
No
Interests
*
Any Other Information
Annual Subscriptions
*
Familes - £10
Individuals - £4
Senion Citizens - £2
