APPLICATION FOR MEMBERSHIP OF THROB

Please join our friendly Organisation by filling in the simple form below and returning it to the Membership Secretary with your subscription, his address is printed at the foot of the page Surname ....................................................................... First name .................................................................... Address ....................................................................... ..................................................................................... ..................................................................................... Postcode ....................................... Phone number ...............................

Please enrol me as a member of THROB. I agree that the personal information I have given may be stored on the Organisation's computer for the sole purpose of maintaining membership records and printing address labels for our own use. Signed .......................................... Date ......................

Please indicate the type of membership applied for Standard (£16) ............................. Retired/OAP/Unwaged (£8)............. Associate (£5) ............................. Name ...................................