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Rover
P5 Club
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Membership
Renewal Form
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Is the date for
your membership renewal coming up?
Fill in form via computer or by hand (in CAPITAL LETTERS) ***Sending instructions at the bottom of this page*** |
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All payments required in £ Sterling. Eurocheques are no longer acceptable.
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PAYMENT
BY CREDIT CARD
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Payment
can be made by
VISA/MASTERCARD / VISA/DEBIT / or SWITCH
(please add £2.00 to cover processing costs) |
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The Committee
thank you for your support during the past year.
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| Name: | Membership No: | |||||||||
| Address (if changed or incorrect) | ||||||||||
| Post Code: | ||||||||||
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Information for Treasurer:
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| Method of payment: Cash / Cheque / P.O. / Credit Card: | Amount: £ |
| Card Number / / / / | |
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Start Date / Expiry Date / SWITCH ISSUE No. |
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Click
printer on left to print off this page and post or fax to Membership
Secretary |