Help us to continue by your kind donation.
HEREBY APPLY TO BE ADMITTED AS AN ORDINARY MEMBER OF THE .............. (Association).
(Hereinafter referred to as "The Club".) If admitted, I agree to abide by and be bound by the provisions of the Memorandum and Articles of Association and all By-Laws of the Club.
I understand that for the first year after admission, my membership will be provisional and that it may be cancelled by the Club's Board of Directors without prior notice to me and at the absolute discretion of the Board, subject only to a refund being made to me of such proportion of any entrance fee and subscription paid as the Board in its absolute discretion may consider to appropriate.
In support of this application, I furnish the following information which I declare to be true and correct.
Date of Birth:
Other Club Membership:
Are you over 18 years? [YES / NO]
Place of Birth:
[---] I HAVE NOT BEEN EXPELLED FROM, SUSPENDED BY OR REFUSED ADMISSION TO MEMBERSHIP OF ANY CLUB (IF POSITION IS OTHERWISE, STRIKE THIS STATEMENT OUT AND ATTACH FULL DETAILS).
[---] I HAVE NEVER BEEN BANKRUPT OR CONVICTED OF ANY OFFENCE INVOLVING DISHONESTY.
[---] I AM ACQUAINTED WITH THE FOLLOWING MEMBERS OF THE CLUB OTHER THAN MY SPONSORS:
(Signature of Applicant)
If no Proposer or Seconder, please attach two personal references.