Membership | Shotgate Community Hall

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Membership Application

Applicants Name *

Spouse/Partner Name *

Address *

Names of individuals to be included in this application (not spouse) over the age of 15 & residing at above address

Telephone No *

Email *

Apon completion and acceptance of application you will be sent a membership card, by your supplied email address

Confirmation of application *

I wish to apply for full Family membership of Shotgate community association and I can confirm that all persons named herein reside at the above address which is within the Shotgate boundary. Cost - £10 Family lifetime or £7.50 Single lifetime Membership
I wish to apply for Associate membership of Shotgate community association and I can confirm that all persons named herein reside at the above address (Outside the Shotgate Boundary). Cost - £10 Family lifetime or £7.50 Single lifetime Membership

Please Show your Surname as the Banking Reference.

BACS Payment details

Account Name :Lloyd's Bank

Sort Code :30-90-80

Account Number:00175765

Omit details

Please tick If you wish your details to be omitted from any future correspondence. Please keep in mind that if you wish to be removed from our records, you may miss out on any information relevant to any upcoming events we hold, etc.

GDPR
Under the data protection regulations (GDPR), please be assured that Shotgate Community Association will always treat your personal details with the utmost care. We never pass/sell anyone’s details to other companies for marketing purposes, etc.

For Official Use Only

Authorised ☐ Membership Card Issued ☐

Membership Secretary

If you are unable to use the above form you can call our membership secretary Marion Spelman, on 01268 766571

Membership of the Association is open to all

Who wish to join.
Life membership fees are:-
£10 for a family consisting of two adults and their children under 15.
£7.50 for individuals over 15.

For membership application enquiry's contact the membership secretary, Marion Spelman, on 01268 766571