Membership Form 2010

Stafford
Bridge
Club
2010-11
. . /
Stafford Bridge Club
2010-11
Membership Receipt
Name / Joseph Bloggs / Joseph Bloggs
Address / 23 Railway Cuttings
East Cheam
Stafford
Post Code ST18 3JP
. . / 23 Railway Cuttings
East Cheam
Stafford
Post Code ST18 3JP
Tel No
email / 01785 121212
/ 01785 121212

EBU No / EBU Membership Number 100
I wish to be a full member of the EBU yes/no* / EBU Membership Number 100
I wish to be a full member of the EBU yes/no*
Other
Club / Are you a member of another club or clubs
within the County? yes/no*
* Delete as appropriate. / Are you a member of another club or clubs
within the County? yes/no*
* Delete as appropriate.
Primary
Club / Do you consider Stafford Bridge Club is your "bridge clubof prime allegiance"? yes/no*
If 'no' please name the club.
...... Wolverhampton……………….....
. . / Do you consider Stafford Bridge Club is your "bridge clubof prime allegiance"? yes/no*
If 'no' please name the club.
...... Wolverhampton……………….....
Please check that the above details are correct.
Received £ ...... 10......
Signed by Director ...... Omar......
Date ...... 1st April 2010...... / Received £ ...... 10......
Signed by Director ...... Omar......
Date ...... 1st April 2010......
N / I agree that the details entered here may be held on computer by the club to be used only for the purposes of the club and the EBU.
Signed by Member Joe Bloggs . . / I agree that the details entered here may be held on computer by the club to be used only for the purposes of the club and the EBU.
Signed by Member Joe Bloggs

Stafford
Bridge
Club
2010-11
. . /
Stafford Bridge Club
2010-11
Membership Receipt
Name / Joseph Bloggs / Joseph Bloggs
Address / 23 Railway Cuttings
East Cheam
Stafford
Post Code ST18 3JP
. . / 23 Railway Cuttings
East Cheam
Stafford
Post Code ST18 3JP
Tel No
email / 01785 121212
/ 01785 121212

EBU No / EBU Membership Number 100
I wish to be a full member of the EBU yes/no* / EBU Membership Number 100
I wish to be a full member of the EBU yes/no*
Other
Club / Are you a member of another club or clubs
within the County? yes/no*
* Delete as appropriate. / Are you a member of another club or clubs
within the County? yes/no*
* Delete as appropriate.
Primary
Club / Do you consider Stafford Bridge Club is your "bridge clubof prime allegiance"? yes/no *
If 'no' please name the club.
...... ……………….....
. . / Do you consider Stafford Bridge Club is your "bridge clubof prime allegiance"? yes/no*
If 'no' please name the club.
...... ……………….....
Please check that the above details are correct.
Received £ ...... 10......
Signed by Director ...... Omar......
Date ...... 1st April 2010...... / Received £ ...... 10......
Signed by Director ...... Omar......
Date ...... 1st April 2010......
N / I agree that the details entered here may be held on computer by the club to be used only for the purposes of the club and the EBU.
Signed by Member Joe Bloggs . . / I agree that the details entered here may be held on computer by the club to be used only for the purposes of the club and the EBU.
Signed by Member Joe Bloggs

Membership Form 2010