Membership
Application Form
Please print off and complete this form even if you are already a member. All members of the same family may be included on one form.
Name (forename, surname) ...........................................................
Address ......................................................................................
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Postcode
............................ Telephone No
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E-mail address .............................................................................
Category of subscription (see Membership for rates and details)
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Date of birth * |
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Subscription |
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TOTAL AMOUNT PAID |
£ |
*Date
of birth - only applicable to Junior members
(Cheques made payable to “Jersey Drag Hunt”)
APPLICATION FOR
HONORARY MEMBERSHIP
Adult Junior Riding (Please delete as appropriate)
Affidavit to be signed by head of family in accordance with Club Rules.
“I hereby certify that I reside permanently at .....................................
..............................................., undertaking an agricultural business
and deriving therefrom my principal and ostensible means of subsistence.”
Signed ..............................
No application for membership can be accepted unless it is accompanied by a cheque, bankers' order or affidavit in respect of Honorary Membership.
Supporters will be entitled to receive all circulars notifying members of forthcoming events.
If you object to the Jersey Drag Hunt and Chase Club Association holding your membership record on computer, please tick here _____
Dated: ........................... Signed .............................
Please send this form with the correct monies to:
Hon. Secretary, Ms. C. Hill, "Maison des Geonnais", La Rue des Geonnais, St Ouen, Jersey JE3 3DL, Tel 07797 728242