CHIPPING SODBURY R.F.C. CLUB 400

APPLICATION FORM

I...........................................................................................................................................(Full Name)

Mr/Mrs/Miss/Ms*

of..........................................................................................................................................................

.....................................................(Address)..............................................................(Phone Number)

Apply for membership of the Chipping Sodbury Club 400 subject to the rules detailed

below.

I will pay my subscription annually and enclose a Bankers Order/Cheque/Cash*

                                                                                                                          *Delete as appropriate

Signed....................................................................Date.............................

RULES

    1.  The Name of the club is Chipping Sodbury Rugby Football Club, Club 400 and is suituated at The Ridings

         Wickwar Road, Chipping Sodbury, South Gloucester.

    2.  The Club 400 is formed to raise funds for the general purpose of the Chipping Sodbury Rugby Football Club.

    3.  Applications for membership of the Club 400 shall be made in writing to the club.

    4.  The membership of the Club 400 shall not exceed 400 in number.

    5.  Members will be alloted a membership number from 001 to 400, which will be advised to them in writing upon

         acceptance of their application to join. This number cannot be changed.

    6.  Each member of the Club 400 will become a Social Member of Chipping Sodbury Rugby Football Club and will

         be entitled to enjoy the facilities offered at the club.

    7.  The Draw will be held every three months at a time and date agreed by the Management Committee. In all matters

         the decision of the Management Committee shall be final.

    8.  Fifty percent of all income received will be made available for prizes.

    9.  All members will be notified by post unless present at the club.

   10. The Accounts of the Club 400 will be produced at the Annual General Meeting of the Chipping Sodbury Rugby

         Football Club; and will be available for inspection at any time on request.

   11. All profits will be paid to Chipping Sodbury Rugby Football Club.

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BANKERS ORDER

The Manager.......................................................Bank PLC.

Addresss.............................................................................................................Post Code...............

Please pay on the ......... day of............................. 20.... and annually thereafter, until further notice

the sum of £24.00 (Twenty Four Pounds ) to Giro Bank PLC, Bootle. Sort Code 72-00-00 for the

credit of Chipping Sodbury RFC Club 400, Account Number 556216709.

Quoting Reference...........................................................

Please debit my/our Account ........................................ in the name of...............................................

Signed............................................................Date...................................

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Please return this form to Rod Harris Club 400 Adminstrator.

At the club or send to:- 30, Bowling Road,Chipping Sodbury  BS37 6EP

Created 28/10/2006