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ROSNY PARK BOWLS CLUB INC.

Application for Membership

A nomination fee of $5 must accompany this application

SURNAME (Block Letters): .............................................................................Mr, Mrs, Ms, Miss

First Names: ........................................................................................................................................

Address: ...............................................................................................................Post Code …..........

Telephone: Home .................................Business ..........................................

Date of Birth: .........................................

Membership category desired (Tick one): Full ........ Bowling Social ........ Non-Bowling Social .........

Previous bowling experience: Name of Club(s)............................................................................

Grade(s) played: .................Position(s) in team: ........................................................................... .

Wish to be considered for pennant play: Yes or No

If no previous bowling experience - wish to learn: Yes or No

I, .................................................................... declare that if this application is accepted I will abide by the Constitution and By-Laws of the Rosny Park Bowls Club Inc. and I further declare that I have not at any time been suspended, expelled or asked to resign from any club.

Signature: ................................................Date: .............................................

Proposer's name and Signature: ........................................................................................................

Seconder's name and signature: ........................................................................................................

Note: The application is subject to acceptance by the Committee

........................................................................................................

Office Use Only

Nomination Pee paid: - Receipt Number .................................

Application accepted/rejected – Date .......................................

                                                    Chairman ....................................