Please complete this application form, and we will be in touch with you soon.       All new members must pay £5.00 registration fee.   You will also have to be proposed by another member if are a new member.       Are you a : new member or renewing your membership?       Sign up for:       Single Membership - £15.00       Joint Membership - £20.00       Senior Citizen Single- £3.00       Senior Citizen Couple - £5.00       New Member Registration fee £5.00   Total   Surname:   Forenames:   Title:   Mr Mrs Miss Tel No:   Email:       Address:   If under 21 years of age, state date of birth:   Day Month Year Proposed by:         If old age pensioner, state date of birth:   Day Month Year Proposed by:       NOTES: 1 - Proposers and seconders to be club members for not less than 6 months. 2 - Applications will be considered in numerical order with preference to Purley residents. No persons shall be entitled to the priveleges of membership until accepted.     Method of payment Cheque Cash   All cheques to be made out to Purley Sports & Social Club. Send to Barbara Pearcy at our address below.   Purley Sports & Social Club Beech Rd, Purley On Thames, Reading, Berkshire RG8 8DR   I / We agree to adhere to the clubs rules & regulations at all times.   Clubs Rules & Regulations. Click here to request a copy   clear form Submit form

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