MEMBERSHIP FORM

JERSEY SURFBOARD CLUB – MEMBERSHIP FORM 2008

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 £20.00 *JUNIOR (under 18 on 01/01/08) £15.00

*Age if under 18 on the 1st January 2008:_______________

Signature__________________________________________Date___________________________________
(Parent or Guardian to sign if under 18)

Family membership £45.00[2 Adults x 2 Children]There will be an extra charge of £10.00/child if you have more than 2 children[u18]