Earley Home Guard Social Club

Membership Form

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Name *

First

Last

Address *

Post Code *

Email *

Phone Number *

Date of Birth *

Marital Status *

Partner Name (if applicable)

Retired *

Profession (Past/Present)

Have you been to the club as a guest? *

Code you securely

If yes, how many times?

Why would you like to become a member? *

Which club(s) are you interested in joining?

I agree to abide by the rules of the club and will ensure that the reputation of the club is not damaged. *

I agree to my data being stored securely by EHGSC and not passed to any third party *

Signature (type your full name) *

Signing date *

22 Pitts Lane

Earley

Berkshire

RG6 1BT

Email: ehgsc@hotmail.co.uk
Phone: 0118 9265936