West Hartlepool TDSOB RUFC 

                  Membership Proposal Form

Mr/Mrs/Ms (Block Capitals)   ____________________

Address   ___________________________________

                                            _____________Post Code

Telephone No.   _______________

Date of Birth     _______________ 

I undertake if accepted as a member of

West Hartlepool TDSOB RUFC:

1.   To strictly observe and abide by the rules of the club.

2.   To pay the appropriate subscription on the due date. 

Signature   ________________   Date   ____________

I propose the above named candidate for membership as

 indicated and confirm I know him/her and that he/she is

a fit person to become a member of this club. 

Signature of proposer   _________________________

Signature of seconder   _________________________

Membership subscription rates:  Rugby member £10;

Student £5; Social member £3; O.A.P.’s £1