Membership Application Form

To apply for membership, please print and fill out the following form.  Please send the completed application form to: GHK RFC, The Pavilion, Old Anniesland, Crow Road, Glasgow, G13 1PL.

APPLICANT DETAILS (IN CAPITALS)

Title (Mr, Mrs, Dr, etc):


First names:


Surname:


Address:


Postcode:


Telephone number (office):


Telephone number (home):


Business/profession:


Date of birth:


I wish to join GHK RFC as (please tick where appropriate):

Playing Member £90 incl. VAT [   ]
Playing Member Under 21 £45 incl. VAT [   ]
Non Playing Lady/Retired/Country Member £35 incl. VAT [   ]
Non Playing Member £70 incl. VAT [   ]

FURTHER INFORMATION

Reason for wishing to join the club:


Rugby clubs which you have been or still are a member:


Other sporting activities or clubs:


Any special area of the club activities you would wish to assist:


Signature:


Date: