APPLICATION FOR MEMBERSHIP OF 
GRESHAMS SPORTS & SOCIAL CLUB LIMITED
TUDDENHAM ROAD, IPSWICH

I/We hereby apply for membership of the Greshams Sports and Social Club Limited, 312 Tuddenham Road, Ipswich,
Ipswich for which I enclose £________________ membership fee, see membership page

  
NAME(S): (in full) ______________________________________________________________
  ______________________________________________________________
  ______________________________________________________________
  ______________________________________________________________
 
PRIVATE ADDRESS: ______________________________________________________________
  ______________________________________________________________
  ______________________________________________________________
 POST CODE: ______________________________________________________________
HOME TELEPHONE NUMBER: ______________________________________________________________
WORKS TELEPHONE NUMBER: ______________________________________________________________
2008 MEMBERSHIP NUMBER: ______________________________________________________________
I would like to receive the "What's On" of events at Greshams (select as appropriate)
By e-mail to this e-mail address: ______________________________________________________________
SMS to this mobile number: ______________________________________________________________
By post monthly of the "What's On" to the
above address for an additional £3.00
None of the above ______________________________________________________________
Total fee payable ______________________________________________________________
(cheques payable to Greshams Sports & Social Club Ltd)
I undertake to abide by the rules of the Club 
 

Signed: ___________________________________ Date: _______

  
  Number allocated ______________________________________
(To be completed by Club)

Please return to:
Sandra Turner (Assistant Manager), Greshams Sports & Social Club Limited, 312 Tuddenham Road, Ipswich, Suffolk, IP4 3QJ