KING EDWARD VII & QUEEN MARY SCHOOL PARENTS' ASSOCIATION

APPLICATION FOR MEMBERSHIP OF THE 200 CLUB (WEB)

 

I wish to apply for membership of the 200 Club for the following months:

 

Commencing month  иииииииии..     Final Month  иииииии.

 

Name (Mr., Mrs., Ms.) иииииииииииииииииииииииииии

 

Address     ииииииииииииииииииииииииии

 

    ииииииииииииииииииииииииии

 

    ииииииииииииииииииииииииии

 

Post Code     ииииииииии

 

Number of shares required ииииииииииии (ё48 per share per year)

 

I wish to pay by:

    

Standing Order (complete attached form)

 

Cheque (payable to KEQMSPA 200 Club)

 

Cash (Please do not send by post)

 

                                                                        Please tick

                                                                                           

I confirm that I am over 16 years of age

 

 

Signed       ииииииииииииииииииии

 

Date         ииииииииииииииииииии

 

 

Please note:

Payment has to be received by the 25th day of the month before the first month you wish to enter the draw. You will receive confirmation by post of your entry into the 200 Club, together with details of your share numbers(s).

 

 

Please print the forms and return to:  

 

The 200 Club Secretary

KEQMSPA

King Edward VII & Queen Mary School

Lytham

Lancashire

FY8 1DT

 

 

 

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