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The
Fossils
Gentlemen’s Club
Membership Application Form
I declare that I understand the Constitution of the Fossils
Gentlemen’s Club and I will abide by the rules of the said Constitution.
__________________________PERSONAL DETAILS__________________________
Mr________________ Initial ____ Surname___________________ D.O.B. __________
Address _______________________________________________________________
_______________________________________________________________________
Town _____________ Postcode/Zip ________Tel. No. ___________ Email __________
______________________________PROPOSAL_______________________________
To be accepted as a Member of the Club you have to be Proposed and Seconded by
two existing members.
Proposed by _____________________________________
Print Name _____________________________________
Seconded by _____________________________________
Print Name _____________________________________
_________________________DATA PROTECTION ACT_______________________
Under the 1998 Data Protection Act ( N.B. No Information of your personal data will
be passed on to any other company or agency for private or commercial purposes).
Signed ________________________________________ Date ___________________
Please send completed form to the Secretary of the Fossils, C/o. Bacchus Hotel,
17, High Street, Sutton on Sea. Lincolnshire. LN12 2EY. United Kingdom.
Fossils
Gentlemen’s Club
Membership Application Form
I declare that I understand the Constitution of the Fossils
Gentlemen’s Club and I will abide by the rules of the said Constitution.
__________________________PERSONAL DETAILS__________________________
Mr________________ Initial ____ Surname___________________ D.O.B. __________
Address _______________________________________________________________
_______________________________________________________________________
Town _____________ Postcode/Zip ________Tel. No. ___________ Email __________
______________________________PROPOSAL_______________________________
To be accepted as a Member of the Club you have to be Proposed and Seconded by
two existing members.
Proposed by _____________________________________
Print Name _____________________________________
Seconded by _____________________________________
Print Name _____________________________________
_________________________DATA PROTECTION ACT_______________________
Under the 1998 Data Protection Act ( N.B. No Information of your personal data will
be passed on to any other company or agency for private or commercial purposes).
Signed ________________________________________ Date ___________________
Please send completed form to the Secretary of the Fossils, C/o. Bacchus Hotel,
17, High Street, Sutton on Sea. Lincolnshire. LN12 2EY. United Kingdom.
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