Llanidloes Croquet Club Membership Form

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Please fill in & Submit

First Name *

Last Name *

Address *

Telephone Number *

Mobile Phone

email address *

Type of Membership *

Full Adult Membership

Student Membership (12-18 years)

Non Playing Member

Have you played Golf Croquet before? *

Yes

Other:

If you have played before, are you?

Beginner

Intermediate

Advanced

Clear selection

I am interested in helping with the Club

Yes

Clear selection

I agree that my phone number and email address can be included in the clubs contact list (NB if you don't agree, then other members cannot invite you to play and we cannot advise if club night should be cancelled) *

I agree

I disagree

I agree that my name, address and contact details can be shared with the Croquet Association

I agree

I disagree

Clear selection

I agree that Llanidloes Croquet Club can use photos of me for marketing purposes *

Yes

Required

I wish to pay the membership fee via *

Bank Transfer: Sort Code 20-51-08 / Account 00820148

Cash - Hand in with form to Janet Crisp on Club Night

Cheque - Hand in with form to Janet Crisp on Club Night

If you have any problems filling out this form or have questions, please contact llanicroquetclub@gmail.com

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