APPLICATION

Please complete one form per person; or family if taking a family subscription (including children under 3 for insurance purposes). If you need more forms print off as many as you need.                  (Please print clearly)

Full Name(s) with ages if 16 or under:

......................................................................................

.......................................................................................

.......................................................................................

Address:

.........................................................................................

.........................................................................................

..............................................Post Code.........................

Email Address...........................................................

Telephone...................................................

Joining Date.....................................

Type of Membership (Please tick)

Adult...........Concessionary...........Family.............

I enclose a cheque/postal order for £...........and a completed Standing Order Form

Please forward this application to:                        Framlingham Swimming Club, PO Box , 130, Framlingham, IP13 9 SW

Contact Patrick Lowin

Telephone 01728 723809