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Vintage Horticultural & Garden
Machinery Club
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Membership Application Form
Please Use Block Capitals
Note: Other than spouse/partner, all other
family members must be under 18 years old on January 1st.
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Name............................................................................
Signed...........................................................................
Telephone Number........................................................
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Address..............................................................................
...........................................................................................
Postcode.............................................................................
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| Date of Birth.................................................................. |
(For Insurance purposes only) |
| Membership Number..................................................... |
Single £12.00 (£14.50 non UK residents) |
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(1st Jan to 31st Dec Membership Year) |
| Family One Name:......................................................... |
(Spouse/Partner) |
| Date of Birth:................................................................. |
Family (2 Members) £16.00 |
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| Family Two Name:........................................................ |
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| Date of Birth:................................................................. |
Family (3 Members) £20.00 |
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| Family Three Name:...................................................... |
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| Date of Birth:................................................................. |
Family (4 Members) £22.00 |
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| Family Four Name:........................................................ |
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| Date of Birth:................................................................. |
Family (5 Members) £24.00 |
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| Note: Other than spouse/partner, family members
must be under 18 years old on January 1st |
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| Please return this form
with remittance A.S.A.P to the membership secretary: Please
make cheques payable to VHGMC. |
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Ivan Clark
69 Priest Meadow
Fleckney
Leicester
LE8 8TZ
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