The Narth & District Village Hall: 100 Club Application Form
Applicants must be over 16

Please ensure you submit this form complete with your details or we cannot allocate you a number in the The Narth and District Village Hall 100 Club.

25% of all money raised from the The Narth and District Village Hall 100 Club will go towards The Narth and District Village Hall, the remaining 75% will be used for the 100 Club prize fund.
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Email *
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Name *
Address
Post Code
Telephone
Quantity of numbers per year at £12 per number
Total payment due £ (The 100 Club 'year' starts with the first draw at our AGM in October. Deduct £1 per number per draw missed if you are applying later in the year)
How do you wish to pay (details will be sent to you)
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By submitting this form you are declaring that you have received and accept the rules of The Narth and District Village Hall 100 Club
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