The A.S.R & M.C.S Club London & South East Branch
Application for Membership
| Surname. | First Names. | Nickname(s)? |
Address. ___________________________
Town ____________________________
Post Code __________________________
Telephone: _________________________ Email Address: _____________________________________
Dates of RAF Service ________________________________________________________________________________________________________
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Trade(s) _____________________________________________________________________________________________________________________
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Brief details of service with the RAF Marine Branch (with dates)
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I am a Member (or Associate Member) of the ASR & MCS Club and wish to join the London & South East Branch of the Club. I agree to the Branch holding details of my membership on a computer file (unless I state otherwise). I enclose the sum of £5.00 as my annual subscription for 2010/2011. (Subscriptions should be renewed on 1st April each year.
| Signature: | Date: |
Please return this form with your subscription to the Honorary Treasurer: W Amos, Chiltley lodge, Brownlow Rise, Totternhoe, Bedfordshire LU6 1QL (01525 220791) Email: bill.amos1@btinternet.com Please make cheques payable to "ASR/MCS Club - London & S.E.Branch".