MEMBERSHIP/PERMIT APPLICATION

To: WDUAA   Applicants Name:
  c/o R. Ravenall   Applicants Address:
  20 Claverdon Close,    
  Hunt End, Redditch,    
  Worcestershire B97 5XY    
     

 

Please provide me with Membership/Permit as selected below for the sum of:
 
Type
Cost
Please Select One
 
   
1) Honorary Full \ Senior £ 30.00 (16-65 yrs)
 
2) Concessionary (OAP’s, Juniors under 16 and disabled)  £ 20.00
 
3) Day Permit £ 6.00  
(date of required day permit)
 
Total cost

 

Please find cheque for the sum of made payable to WDUAA

Please provide a stamped addressed envelope for issue of Membership/Permit

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