MEMBERSHIP FORM
JERSEY SURFBOARD CLUB – MEMBERSHIP FORM 2009
Print out this form, then complete clearly and return to the following address:
Post to : AMANDA BOND, Les Peupliers, Rue de la Guilleaumerie, St Saviour ,JE2 7XF TEL (44) 1534 855217
Please make all cheques payable to - Jersey Surfboard Club
Name:____________________________________________________________________________________
Address:_________________________________________________________________________________
_________________________________________________________________________________________
Post Code:_______________________________Telephone:________________________________________
E-mail:___________________________________________________________________________________
Membership required (please circle):
SENIOR £25.00 *JUNIOR (under 18 on 01/01/09) £20.00
*Age if under 18 on the 1st January 2009:_______________
Signature__________________________________________Date___________________________________
(Parent or Guardian to sign if under 18)
Family membership £60.00[2 Adults x 2 Children]There will be an extra charge of £10.00/child if you have more than 2 children[u18]
