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MEMBERSHIP FORM - SESSION 2002 ~2003

ADDRESS....................................................................................

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HOME TELEPHONE NUMBER......................................................................

I am applying for Ordinary Membership (18yrs & Over £10:00 per Year)___/ Tick Box.
I am applying for Junior Membership (14 - 17yrs £5:00 per year) ___/ Tick Box.

I have been a member of Liverpool A.S. before.
YES/NO (Please delete as applicable)

If Yes, Please give approximate dates..............................................

Please give your date of birth if under 18 years of age............................

I undertake that, if elected, I will pay the entrance fee (if applicable),
and the first years Subscription.

I agree to abide by the rules of the Society.

Your Signature...................................Date...............................................

Signature of Secretary or Member with membership of over 12 months
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Date Elected to Membership.......................Fee Paid £.....................................

Please complete this form and hand it to the Secretary to be counter signed
at the start of a Monthly Meeting. (NOT A.G.M.) You must be present at the meeting to be accepted into membership.
(DO NOT SEND VIA POST) If you already know a member, they can counter sign instead.

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