Membership Form

Please complete the form below to apply for new membership or to renew.

Once you have submitted your application, you’ll be shown a preview screen detailing your entries for you to print off if required (right click on the page and select ‘Print’).

I/We* HEREBY APPLY for Membership of the Claydon & Barham Community Centre and enclose herewith the appropriate fee (Refundable if my application is unsuccessful).

I/We* AGREE to abide by the Rules of Membership, a copy of which is displayed on the premises.

I/We* HEREBY confirm that I/We know of no lawful or other impediment that would preclude me/us* from Membership.

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New Member
Renewal
Full Member* - £15.00
Concessionary* Member - £7.50
Full Member Couple - £25.00
Concessionary* Member Couple - £13.00
Concessionary* and Full Member Couple - £20.00
Title and Full Name (1)
Title and Full Name (2)
Address

Please supply the names of two current members as referees (Applicable to new members only):

*Concessionary price applies to those over 60 or registered disabled.  Those over 80 no charge.

The information that is held by the Claydon and Barham Community Trust Ltd, is solely for the use of the Trust.  The information is stored responsibly and at no time is shared outside of the organisation.

By submitting your membership application, you are allowing the Trust permission to hold the information in either digital or paper format and emailing club information to you where an Email address has been given.

Please click the box below to confirm your acceptance of the above terms and conditions.

On submission and acceptance of this form, an invoice for payment will be sent out to you.