200 Club Membership Application Form - 2010

Object: To provide funds for the upkeep and maintenance of Robey Tri-tandem No. 45655. Reg. No. VL2773.

Contributions: £10.00 per draw purchased.

Draw Dates: Commencing end March 10 then end June ,end September and end December. Anyone wishing to witness the draw please contact

Norman Emmett - Telephone 01822 854108

 

Prize Winners: Notified by post together with prize.

Prizes: The size of the prize will depend on the number of competitors who have payed their fee of members' fees will be assigned to prize money.

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I (name) ________________________________

of (Address) __________________________________

  ___________________________________________

  ___________________________________________

 

wish to join the Tri-tandem 200 Club for 2010. I enclose a cheque made out to

the 'Tri-tandem 200 Club' for £10.00 for each draw purchased.

Signed _________________________________

 

Please post this form to: Norman Emmett, 'Brookside', Whitchurch Road, Horrabridge, Devon, PL20 7TT