Tiverton Harriers Membership Form 2023
1 April 2023 to 31 March 2024
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Membership
When joining Tiverton Harriers you have the option of England Athletics membership. This comes with a number of benefits including discounted race entries and eligibility for the Club's London Marathon place. See the England Athletics website for a full list of benefits: https://www.englandathletics.org/athletics-and-running/athlete-registration/benefits-of-registration/
Membership
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Full Name *
Address *
Date of Birth *
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DD
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YYYY
Gender *
Telephone Number *
Email Address *
Type of Membership *
English Athletics Number (if applicable)
Payment
Payment can be made by cash, cheque or bank transfer. Please bring cash and cheques to training sessions and make cheques payable to Tiverton Harriers.

Bank details:
Account Name: Tiverton Harriers
Account no: 06514707
Sort code: 60-21-27
Paid By *
Required
Declaration *
Required
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