APPLICATION FOR MEMBERSHIP 2007-2008

Name:……………………………………………………………………………………..

Address:………………………………………………………………………………………..……………………………………………………………..

………………………………………………………………………………………..…Postcode: ……………………………………..

Date of Birth:…………………………………………………………………

Contacts (please complete where appropriate)

Home phone:……………………………………………… Work phone: …………………………………………………….

Mobile phone: …………………………………………..e-mail: ………………………………………………………………..

(Please only supply your e-mail address if you check it reasonably regularly and we can use it to contact you, if you supply an e-mail address all future correspondence will be sent electronically)

Do you wish to play matches? Ladies MensMixed

If the situation arose that you were only able to play Ladies MensMixed

for one team which would be your preferred choice.

Do you play for any other clubs in the Reading league? If you are paying your Badminton Englandand/orBerkshire affiliation fee via another club please give details or contact Anna.

………………………………………………………………………………………………………….……………………………………………………………………………..

Subscription:

£10 reduction if paid before 31 July / After 31 July
Category / Total / Please tick membership applied for / Total / Membership applied for
Adult / £115 / £125
Over 65’s / £105 / £115
Junior / £66 / £76
Registered coaches / £105 + Berks Fee / £115 + Berks Fee
Adult - BE affiliation via another Reading club / £105 / £115

NB If you are a member of the coaching register paying your Bad Eng. affiliation through the coaching register you still have to pay the Berkshire membership fee, please contact Anna regarding the cost. Thanks

Paymentenclosed£…………………Cheque / cash (please circle)

(Cheques to be made payable to Chiltern Badminton Club and sent with a copy of this form to:

Anna Joanes, 58 St Johns Road, Slough, Berkshire, SL2 5EX)

This information will be stored on computer and will only be made available to officers of the club, the Badminton England and other associated bodies for the purpose of organising and running Chiltern Badminton Club, it will not be made available to outside organisations.