| Northumberland
Fell Runners. |
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| Membership
Application/ Renewal. |
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| Year ending 31 December 2008 |
(renewals due on January 1st 2008) |
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| Title |
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| First Name |
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| Surname |
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| Gender |
Male/Female |
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| Address (incl post code) |
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| Contact: Teleph. |
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| Mobile |
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| E-mail |
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| Please name any clubs affiliated
to |
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| England Athletics of which
you are a |
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| member. |
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| Will you be fell-running
First Claim |
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| for N.F.R.? (Please note N.F.R is only |
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| affiliated for fell and hill
running). |
Yes/No |
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| Do you wish to become a
member |
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| of England Athletics? |
Yes/No |
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| Are you a member of the
F.R.A.? |
Yes/No |
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| Date of birth (dd/mm/yy) |
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| Age on 01/01/08 |
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| N.F.R. Kit |
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| N.F.R. running vests and shorts can be purchased in Club
colours (purple vest with green diagonal |
| stripe
and purple shorts), subject to availability. If you wish to purchase kit
please detail below and |
| enclose the appropriate
money:- |
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| Vest-male |
Size
S/M/L/XL
£ 15.00 |
| Vest-female |
Size
S/M/L/XL
£ 15.00 |
| Shorts |
Size
S/M/L/XL
£ 14.00 |
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| I enclose the following:- |
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£ |
| N.F.R. subscription |
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10.00 |
| England Athletics fee (£5.00 where
appropriate) |
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| N.F.R. kit |
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| Total enclosed |
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| (Please make
cheques payable to "Northumberland Fell Runners") |
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| Signature |
Date |
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| Members
joining for the first time after 30 September 2008 will gain 15 months
membership. If you |
| are a full
time student and would like to take advantage of a reduced subscription of £5 please |
| adjust your
application adding a note confirming the educational institution you are
attending. |
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| Completed forms and
remittances should be forwarded to the Club Treasurer:- |
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| David Armstrong |
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| Ladykirk |
Teleph. Home 01434 684072 |
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| Belmont Gardens |
Work 0191 3848581 |
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| Haydon Bridge |
Mobile. 07939 208041 |
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| Northumberland |
E-mail.
david.a@ribchesters.co.uk |
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| NE47 6HG |
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