Southampton Running Sisters
Renewal of Membership
you can print this form here or download a copy of the form from our web site http://srs.org.uk/members.html
I would like to confirm renewal of my membership of Southampton Running Sisters*
I wish to resign my membership of Southampton Running Sisters.*
* delete as appropriate
Enclosed is my fee of; £15.00 waged/ £10.00 concession
Membership is for one calendar year and includes affiliation to England Athletics
Cheques payable to Southampton Running Sisters
SIGNED ........………………………....
PRINT NAME …......…...………………………
ADDRESS
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POSTCODE……………………………..
DATE OF BIRTH ………………………
(d.o.b needed for age grading in races/leagues)
TELEPHONE NO ….........………………….....
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EMAIL ADDRESS HOME/WORK (please print clearly)
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note we use your email address to contact you via the club.
You can change the options on the list web site to receive only one email a day, or stop the emails
Please return your completed form to:
Tina Dempster
15, York Close
Horton Heath
Eastleigh
SO50 7PX
NB: If you require a new membership card or receipt, please enclose a SAE. Thank you.
