L&DMBC and HEMEL MEMBERSHIP
APPLICATION FORM 2019-2020

 

Application Date


Name


Address


Town


County


Postcode


e-mail address †


Telephone number †


Mobile number †


† (optional) The Club uses email and SMS to keep members updated.


MEMBERSHIP SUBSCRIPTION TARIFFS
Code Membership Type Tariff Qty
A: Adult: £25.00  
SC: Senior Citizen (Male/Female over 60): £22.00  
J: Junior under 18 (see note 1): Free  
F: Family Membership (see note 2): £27.00  
SF: Senior Family Membership(see note 3): £24.00  
Total £   

Note 1: A Junior Member must be part of a Family Membership group. Junior Members become Adults on their 18th birthday and thereafter, at the next membership renewal date, will pay the Adult Membership tariff.
Note 2: Two adults plus maximum of three Juniors under 18
Note 3: Two Adults, one being over 60, plus maximum of three Juniors under 18

Please makes cheques payable to Luton & District Model Boat Club
and send, with completed application form, to:

Club Secretary L&DMBC
27 Saywell Road
Luton
Beds.
LU2 0QG




Due to recent changes in Data Protection regulations, this form should be accompanied by a completed Data Protection Waiver form.