Renewal Form

MEMBERSHIP APPLICATION/RENEWAL FOR 2018 - 2019
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) $170.00 _______________________ _______________________ $_________
SOCIAL & INDOOR (AM) $80.00 _____________________ _______________________ $_________
SOCIAL MEMBER (S) $35.00 ________________________ _______________________ $_________
LOCKERS INCLUDED
TOTAL AMOUNT $_________
Return application to me with cheque payable to Thistle Lawn Bowling Club by May 1, 2018 to:
Celia McCrady
c/o The Thistle L.B.C.
25 Beaufort Street DATE RECEIVED: AMOUNT:
London, ON N6C 5Y9
_________________ $__________
ADDRESS

25 Beaufort St

London, ON N6G 1A6

Canada

 

thistlelawnbowling@gmail.com

 

Tel: 519-438-1936
 

FIND US

© 2016 Thistle Lawn Bowling Club