THAMES ROWING CLUB | APPLICATION FORM 2013/2014
THAMES ROWING CLUB | APPLICATION FORM 2013/2014
Important: Gym members may not row or scull from the club.
Important: Gym members may not row or scull from the club.
GYM MEMBERSHIP
GYM MEMBERSHIP
Surname:Fornames (all please):
Surname:Fornames (all please):
Title – Please circle: Mr Title – Please circle: Mr Mrs Miss Dr. Other
Mrs Miss Dr. Other
Permanent Address:
Permanent Address:
Postcode: Date of Birth:
Postcode: Date of Birth:
Home Phone:
Work Phone:
Mobile Phone:
Home Phone:
Work Phone:
Mobile Phone:
Occupation:
Occupation:
Home Email:
Home Email:
Work Email:
Work Email:
Declaration: I certify that the above details are correct and that I will be bound by the rules of the Club and the Club’s policies on safety which I have received
and read.
Declaration: I certify that the above details are correct and that I will be bound by the rules of the Club and the Club’s policies on safety which I have received
and read.
Signature:Date:
Signature:Date:
ANNUAL FEES
£250 annual fee plus a one off joining fee of £50. Payments received before the 1st October attract a reduced annual fee of £230 plus £50 joining fee.
Payment can be made by cheque to ‘Thames Rowing Club’ or by credit/debit card at the club bar, (please attach a card receipt to this form).
Membership is renewed and fees due on 1st October each year.
STANDING ORDER PAYMENTS
If you wish to pay by Standing Order, please complete and return the entire form to the Membership Secretary.
Important: Please inform the club in writing if you wish to resign and cancel the Standing Order yourself, as Thames Rowing Club is not permitted to do this.
HALF YEAR FEES
ANNUAL FEES
£250 annual fee plus a one off joining fee of £50. Payments received before the 1st October attract a reduced annual fee of £230 plus £50 joining fee.
Payment can be made by cheque to ‘Thames Rowing Club’ or by credit/debit card at the club bar, (please attach a card receipt to this form).
Membership is renewed and fees due on 1st October each year.
STANDING ORDER PAYMENTS
If you wish to pay by Standing Order, please complete and return the entire form to the Membership Secretary.
Important: Please inform the club in writing if you wish to resign and cancel the Standing Order yourself, as Thames Rowing Club is not permitted to do this.
HALF YEAR FEES
Anyone joining after the 1st April may do so by paying the half year subscription of £125 plus the £50 joining fee.
Joining any time before that date attracts the full annual fees.
Anyone joining after the 1st April may do so by paying the half year subscription of £125 plus the £50 joining fee.
Joining any time before that date attracts the full annual fees.
Please complete this form, attach payment and give it to Pauline Rayner (Membership Sec.) or Mike Grattan (House Manager) who you will normally find
behind the bar.
Please complete this form, attach payment and give it to Pauline Rayner (Membership Sec.) or Mike Grattan (House Manager) who you will normally find
behind the bar.
For office use: Cheque/Cash received £
on
Entered by
on
For office use: Cheque/Cash received £
Member No.
on
STANDING ORDER MANDATE
Entered by
on
Member No.
STANDING ORDER MANDATE
To pay by Standing Order, complete the white boxes below. We will send it to your bank.
To pay by Standing Order, complete the white boxes below. We will send it to your bank.
Please note that the Club cannot amend or cancel this mandate. In order to cancel it, you must contact your bank yourself.
Please note that the Club cannot amend or cancel this mandate. In order to cancel it, you must contact your bank yourself.
Name of bank
Branch name
Bank address including postcode
Name of bank
To the
Manager
Branch name
Bank address including postcode
To the
Manager
PLEASE PAY
PLEASE PAY
THAMES ROWING CLUB, Sort Code 20-90-69, Account number 00885991 (Barclays Bank, Wandsworth Business Centre)
1st Payment of
£280
Two hundred and eighty pounds Followed by £230
Two hundred and thirty pounds THAMES ROWING CLUB, Sort Code 20-90-69, Account number 00885991 (Barclays Bank, Wandsworth Business Centre)
now (includes £50 joining fee)
1st Payment of
thereafter every year (on 1 October)
and until further notice from me
Followed by £230
Two hundred and thirty pounds Please quote the reference:
For TRC use:
Name of account to be debited
£280
Two hundred and eighty pounds now (includes £50 joining fee)
thereafter every year (on 1 October)
and until further notice from me
Please quote the reference:
For TRC use:
Bank Sort code
-
Account number
Your signature
-
Thames Rowing Club, Putney Embankment, London, SW15 1LB | Tel. 020 8788 0798 | [email protected] | www.thamesrc.co.uk
Date
Name of account to be debited
Bank Sort code
-
Account number
Your signature
-
Thames Rowing Club, Putney Embankment, London, SW15 1LB | Tel. 020 8788 0798 | [email protected] | www.thamesrc.co.uk
Date