ࡱ> `b_ :bjbj-- 3`OO8  8Lj?"F:: Z f!!!!!!!,#&|!n":nn!!n!n!Ah!"0?"''nnn!!nnn?"'nnnnnnnnn :   MEMBERSHIP APPLICATION/RENEWAL FORM - SEASON 2011 2012 Please complete this form in capital letters and return. Annual subscriptions are due from 01st September so please pay promptly. If renewing please ensure that you check and update your details on the Club website at  HYPERLINK "http://www.havanthockeyclub.org.uk"  www.havanthockeyclub.org.uk as the Club policy is to use e-mail to communicate with you. You will need to log in to the restricted area of the web-site, if you have forgotten your password then follow the instructions on the website. Mens Section returns to: Stuart Rowe, 1 Croftlands Avenue, Stubbington, Fareham, PO14 2JR. email -  HYPERLINK "mailto:s.rowe22@btinternet.com" s.rowe22@btinternet.com Ladies section returns to: Lucy Orosz , 3 Corner Mead, Denmead, Waterlooville, Hants PO7 6YF. email -  HYPERLINK "mailto:landmorosz@tiscali.co.uk" landmorosz@tiscali.co.uk Junior section returns to: Team manager Payment by: Cheque payable to Havant Hockey Club Standing order September to December please refer to Stuart Rowe, 1 Croftlands Avenue, Stubbington, Fareham, PO14 2JR Bank transfer to Havant Hockey at sort code 30-93-97, account number 01531277, quoting your name as reference Title:Surname:First Name:Address:Post Code:Home Tel. No: Work Tel No:Fax No:Mobile No:Email Address:Are you happy to receive Club information by email? Yes/NoDate of Birth (Student/Junior):School/College/Uni:If applicant is under 18 please complete a Junior Section Registration, Photography and Medical Consent form and return with the membership application form.For all adult members please indicate here skills/willingness to help within the club e.g. administration, fundraising, social: **Indicate type of membership required in ** columnFULL140.00To be paid by 31/10/2011STUDENT OVER 18 90.00To be paid by 31/10/2011OCCASIONAL (*CJOJQJaJhgh_DtCJOJQJaJh_H5>*CJOJQJaJ"hTDh_Dt5>*CJOJQJaJhv45>*CJOJQJaJhg5>*CJOJQJaJhgCJOJQJaJhTDhv45CJOJQJaJhTDh_Dt5CJOJQJaJ9:3 a $IfgdK$ $da$gdm $da$gdaP$a$ $dha$gdg    E F H I g l m 2 L Ұsg[gO@haPhv?CJOJQJaJhXCJOJQJaJh)KCJOJQJaJh CJOJQJaJhCJOJQJaJhwCJOJQJaJ+jhaPh(CJOJQJUaJhaPh(CJOJQJaJ%jhaPh(CJOJQJUaJhaPhZ?CJOJQJaJhaPh-CJOJQJaJhaPhv4CJH*OJQJaJhaPhv4CJOJQJaJL Z   : D E X p r s µ̦̗{o`o{O{@haPh(CJOJQJaJ hYMhr0JCJOJQJaJhrhrCJOJQJaJhrCJOJQJaJjhrCJOJQJUaJhXCJOJQJaJhaPhv?CJOJQJaJhYMhr0JCJOJQJhrhrCJOJQJhrCJOJQJjhrCJOJQJUhXCJOJQJhaPh5SCJOJQJhaPh5SCJOJQJaJ - `     " # 8 9 I J } |xkgZPZLZLZL?PhK$hbCJOJQJh_DthbCJOJQJhK$h_DtCJOJQJhv?hK$hv?CJOJQJh5hK$h5CJOJQJh hK$h CJOJQJhhmCJOJQJaJh#jh#jCJOJQJh#jCJOJQJhaPh#jCJOJQJhaPh#jCJOJQJaJh#jCJOJQJaJh_DtCJOJQJaJhmCJOJQJaJ ne $IfgdK$kd$$IfT$4F_J)$0    4 $af4ytrT  $IfgdK$gkd$$IfT$)$m&04 $aytrT    ! 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