PWR Membership 2018-19
It is your responsibility to ensure you are medically fit to run.
Email address *
Membership type *
Title
First Name *
Your answer
Last Name *
Your answer
Date of birth *
Your answer
Address *
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Postcode *
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Email *
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Phone
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Membership Type
If Second Claim, please state name of First Claim Club
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If Second Claim and you know your EA number, please state here:
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Average 5k time if known (optional)
Hrs
:
Min
:
Sec
Change of information since last renewal if applicable
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Membership paid by bank transfer to PWR account
I have paid £26.00 first claim or £11.00 second claim​ Bank transfer (Lloyds) to account name "Petts Wood Runners", account number "02130329", sort code "30-93-23". Reference: Surname & MEMB.
I agree to Petts Wood Runners sharing my data with England Athletics
I agree to members of the Committee having access to the information I have provided here in conjuction with club business
More information about how we use your data can be found on the website
I agree to receive weekly emails from the club and other emails regarding club business.
Your email address provided here will not be used by PWR for any purpose other than club business, or shared with anyone other than England Athletics.
How did you hear about PWR
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