Application for membership

Name .............................................................................................................................
Address .............................................................................................................................
  .............................................................................................................................
  .............................................................................................................................
  ................................................. Post Code ..............................................

Telephone number         

home:

......................................................................

 

mobile:

......................................................................

 

work:

......................................................................

Email address

....................................................................................

Handicap (if any)

..............................................

If you are a member of the Croquet Association, via which club do you pay a registration fee? 

.......................................................................................................................................

Subscription rates                
Single
Family
Full
£183
£273
 
Country
£124
£183
  25 - 50 miles from the club
Far Country
£65
£93
  Over 50 miles from the club
Student
£45
 
Non-playing
£25
 

Coaching Course

£30

 

  Refunded on joining

When completed please send this form and your subscription (making cheques payable to ‘Surbiton Croquet Club’) to the membership secretary:

Margaret Hampson
7 The Fieldings,
Banstead,
Surrey     SM7 2HF

Tel: 01737 669093


Updated 31.iii.17
surbitoncroquet.org.uk/surbiton/membership/subscriptions/memform.asp