PWR Membership 2019-20
It is your responsibility to ensure you are medically fit to run.
Membership type *
Title
First Name *
Your answer
Last Name *
Your answer
Date of birth (dd/mm/yyyy) *
Your answer
Address *
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Postcode *
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Email *
Your answer
Phone
Your answer
Membership Type
If Second Claim, please state name of First Claim Club
Your answer
If Second Claim and you know your EA number, please state here:
Your answer
Change of information since last renewal if applicable
Your answer
Membership paid by bank transfer to PWR account
I have paid £27.00 first claim or £12.00 second claim​ Bank transfer (Lloyds) to account name "Petts Wood Runners", account number "02130329", sort code "30-93-23". Reference: Surname & MEMB.
I acknowledge that PWR will share my data with England Athletics *
Without this permission, you cannot be a member of the club. For more information about how we use your data, see https://www.pettswoodrunners.org/data-protection.html and how EA use the data: https://d22mrp1h7mecyi.cloudfront.net/2018/10/EA-Privacy-Policy.pdf
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