Membership Application Form
 
Affiliated to:  England Athletics & Kent County Athletics Association.

 

I wish to apply for membership to Orpington Road Runners.  I agree to abide by rules of the club and pay my subscription which is payable upon membership, annually thereafter on the 1st January. The subscription rates for 2011 are £10 annual subscription fee plus a one-off joining fee of £5 for first claim members and for second claim members - £5 only.

I understand that participation in the Club's running activities is entirely at my own risk.

Title:
 
Forename:

Surname:

Address Line 1:

Address Line 2:

Town

County

Postcode:

E-mail:

Home Phone:

Mobile:

Date Birth (dd/mm/yyyy)
First Claim Club
(if not ORR)


Subscription paid: £

Method of Payment:

How did you find us ?

Finally, tell us about your running background/goals or any other comments:
 



 

A membership list is circulated amongst club members containing name, e-mail address and telephone numbers. Select one below to decide how you wish to be or not included, no details are given to 3rd parties or other clubs and is purely for club member interaction.

   

Please send a cheque of £15 for first claim members or £5 for second claim members made payable to 'Orpington Road Runners'.
You can make a direct payment to our bank - details are:

Sort Code: 20-14-33           Account No: 90693731              Account Name: Orpington Road Runners (Barclays Bromley Branch)

Please use your SURNAME followed by FIRST NAME as a reference, and enclose a small (Stamp Addressed Envelope) to return your membership card)

Send to:-

ORR Membership Secretary
Jennie Moreton
139 Cloonmore Avenue, Orpington,  Kent.  BR6 9LN

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