The Hull & East Riding Squash Club

President: I. G. Davis
Chairman: A Berriman
Hon. Sec:  G. Moverley
Hon.Treas:  P Webb

Squash Coach: A Cockerill
Telephone 01482 446701		 Chanterlands Avenue North.
Hull.
East Yorkshire.
HU5 4ED
Telephone 01482 446701
E-mail: info@hersquash.co.uk

SUMMER MEMBERSHIP APPLICATION FORM
March 1st to August 31st 2010

Name ..........................................................................................................

Tel. No. .........................................................

Address ..............................................................................................................................................

Post code ..........................................................E-mail Address...........................................................
Type of Membership. (tick) Summer Subscription

Adult Membership

Student Membership

(   )

.(...)

 £47.50 (includes £7.50 Sports club fee)

£33 (Includes £7.50 Sports Club fee)

Junior Membership
(Under 18 yrs on September 1st 2010)
Date of Birth .....................................
Junior Membership
(Under 14 yrs on September 1st 2010)
Date of Birth......................................

(   )

 

(...)

£16.00

 

£10.00

 

Please note: The Hull & East Riding Sports Club fee for over 60's is £3.75


For the purposes of the Data Protection Act 1984 I hereby confirm that I do not object to the club holding personal data (as above) relating to myself. (See Rule 13)

I also give my permission for this information to be given to England Squash & Racketball as required under new affiliation rules.



Applicants Signature........................................................


The completed form should be forwarded to the Club Treasurer, care of the Club , together with the appropriate membership fee.

Cheques should be made payable to the “Hull & East Riding Squash Club“.

Please complete all details so that our records are up to date.