Pewsey Vale R.C. Logo

 PEWSEY VALE RUNNING CLUB

 U.K.A.

England Athletics

Wilts A.A.

 

APPLICATION FOR MEMBERSHIP

 

Please Complete In BLOCK CAPITALS

 

Surname:         Forename(s):

Address:

               

               

Postcode:         Telephone No.:

Date of Birth:         Country of Birth:

E-mail Address:

If a Member of Another Club, give name:

Will Pewsey Be Your First Acclaimed Club?:

England Athletics Reg. No.:

 

I DECLARE THAT I AM AN AMATEUR ACCORDING TO THE FOLLOWING DEFINITION:- "An Amateur is one who, has never competed for prize money or monetary consideration in any athletic sport or game, or been in any way interested in a stake, bet or wager made in connection with any athletic competition in which He/She was an entrant, or competitor, who has never engaged in, assisted, or taught any athletic exercise or pecuniary consideration, or in any way exploited His/Her athletic ability for profit, and who has never taken part in any athletic competition with anyone who is not an amateur."

Signed:...........................................................        Date: ......................................

SUBSCRIPTIONS FOR 2009 SEASON (JAN-DEC)

ADULTS: £15.00

STUDENTS: £5.00

JUNIORS: £4.00

NEW MEMBERS FILL IN ENGLAND ATHLETICS MEMBERSHIP FORM

REDUCED RATES FOR NEW MEMBERS ONLY JOINING WITHIN THE YEAR

Please make cheques payable to P.V.R.C.

Please return form to the club treasurer, 1 Vale Road, Pewsey, Wilts SN9 5HG. Memberships are

due by the end of January 2009, after this date you cease to be affiliated to Pewsey Vale R.C.

 

 SECRETARY                                      CHAIRMAN                                         TREASURER

 Tina Watson                                  Mark Anderson                                        Rob Lister

   01672 563226                                  0779084881                                      01672 563484