Renewal Form

MEMBERSHIP APPLICATION/RENEWAL FOR 2022 - 2023
THISTLE LAWN BOWLING CLUB  25 Beaufort Street,
London, Ontario
N6G 1A6
DATE:_____________________________
SURNAME (1)____________________________________ FIRST NAME:_______________________
SURNAME (1)____________________________________ FIRST NAME:_______________________
ADDRESS:________________________________________________________________________
TELEPHONE:__________________ Please make certain we have your email  and telephone #
E-MAIL (if new):__________________________________________________________________
TRANSFER FROM ANOTHER CLUB?:___________________________________________________
NAME OF CLUB:________________________________ LOCATION OF CLUB:__________________
ALSO BELONG TO ANOTHER CLUB:____________________________________________________
O.L.B.A MEMBERSHIP
(1) CARD #:________________ YEAR JOINED:___________
(2) CARD #:________________ YEAR JOINED:___________
BIRTHDATE * (1):__________________________________
* New members only, required by O.L.B.A.
BIRTHDATE * (2):__________________________________
FIRST NAME(S) AMOUNT
  FULL MEMBER (FM) $200.00 _______________________ _______________________ $_________
  SOCIAL & INDOOR (AM) $100.00 _____________________ ______________________  $_________
  SOCIAL MEMBER (S) $50.00 ________________________ _______________________ $________
      FIRST TIME NEW MEMBER AT THE THISTLE $150.00__________________________$______

LOCKERS INCLUDED

TOTAL AMOUNT $_________
Return application with cheque payable to Thistle Lawn Bowling Club

The Thistle L.B.C.
25 Beaufort Street  
London, ON N6G 1A6
Date Received:   _________________

Amount:     $________________