CUMBERLAND FELL RUNNERS
APPLICATION FOR MEMBERSHIP

When completed, this form should be returned to:

Stephen Sharp
5 Sunscales Avenue
Cockermouth
Cumbria CA13 9DY Tel. 01900 826632 e-mail: stephen.sharp4@btinternet.com

Full name:

Sex:

Address:

Postcode:

Home telephone number if you have one:

Date of birth:

e-mail address if you have one:

If you are a first claim member of another club, please state which:

Please delete as appropriate:
£15 SENIOR MEMBERSHIP
JUNIOR MEMBERSHIP (FREE) (under 18 years)
£25 JOINT MEMBERSHIP (2 adults at same address: please complete two forms and staple together)

I enclose a cheque / PO for the above sum made payable to CFR

OR

I have arranged to pay the above sum through my bank by Standing Order to:
Cumberland Fell Runners at Barclays Bank, Cockermouth,
sort code 20-66-97, account number 40848492
(Annual renewal by Standing Order should be paid before January 31st)

Please note that Membership will not be in effect until cheques have been cleared or funds received by Standing Order.

If my application for membership is successful:

•   I undertake to abide by the Rules of the Club.

•   I agree to the above data being stored in electronic form and made available to officials of the Club.

•   I agree to my name, address, telephone number and e-mail address being included on the list circulated to all members of the Club.

I am an amateur as defined by A.A.A. laws.

Signed: .................................................................. Date: ........................................

Signature of Parent/Guardian if under 18: .............................................................

Please indicate on the reverse where you heard of CFR. Thank you. (Form printed from website).

Full name:
Sex:
Address:
Postcode:
Home telephone number if you have one:
Date of birth:
e-mail address if you have one:
If you are a first claim member of another club, please state which:

If my application for membership is successful:
•	I undertake to abide by the Rules of the Club.
•	I agree to the above data being stored in electronic form and made available to officials of the Club.
•	I agree to my name, address, telephone number and e-mail address being included on the list circulated to all members of the Club.
I am an amateur as defined by A.A.A. laws.