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Membership

MEMBERSHIP APPLICATION FORM*
MEMBERSHIP RENEWAL FORM*

CHANGE OF PERSONAL DETAILS FORM*

* Delete as appropriate

YEAR COMMENCING 1ST JANUARY 2017

Name: ……………………………………………………………………..
Date of Birth: ……………………………………………………………………..
Sex: ……………………………………………………………………..
Home Address: ……………………………………………………………………..
……………………………………………………………………..
Postcode: ……………………………………………………………………..
Home Telephone No: ……………………………………………………………………..
Mobile Phone No: ……………………………………………………………………..
Email Address: ……………………………………………………………………..

The annual subscription fee is £18 which allows entry to the league races and our own races but if as an individual you also wish to be affiliated to English Athletics (EA) then there is an extra fee of £14 making a total of £32.
Members affiliated to EA will be able to enter races affiliated to English Athletics (London, Nottingham, Great North etc.) without paying the non affiliated premium. They will also be eligible for the club draw for London Marathon places.

ARC affiliation only (£18 membership fee)

ARC/EA joint affiliation (£32 membership fee)

Bank Details for Payment by BACs: - Provide your name as reference
Bank Sort Code:
09 01 54
Bank Account Number: 38551087

Please hand your completed form to David Hattersley at the club or post it to:

David Hattersley
Membership Secretary
24 Ashby Road Central
Shepshed
Leicestershire
LE12 9BS

Alternatively, email the form to: david.hattersley@hotmail.co.uk

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