Please print this page then complete the form

Ripley Star Club

APPLICATION FOR MEMBERSHIP
(use block letters please)

FULL NAME

E-MAIL ADDRESS

ADDRESS

Date of Birth

I apply for membership of the above clubs and, if accepted, agree to abide by the rules.

Signature of Applicant

Date Signed

Please post this form with a cheque for £15 (payable to the Star Club) to
Ripley Star Club, c/o Bailey Motte Cottage, 1 Foundry Gardens, Knaresborough HG5 8BB
Membership expires on 31st December of each year.
In the event that membership is not accepted, cheques will be returned uncashed