Please enrol me as a member of the NKG. I enclose my subscription for the remainder
of the current membership year (Cheques should be made payable to the Northern Kite Group)
Please complete the following details in BLOCK CAPITALS

Your Details:
Full Name
Address
 
 
 
Post Code
   
Telephone Number
   
Email Address

Joint Members:
Name
Date of Birth if under 18
Name
Date of Birth if under 18
Name
Date of Birth if under 18

Please note that members under 16 must be accompanied by a parent or guardian who is a Club member at all Club activities.

I understand that my details will be kept on a computer file for administration purposes and I have no objection to this.

Total remitted:
Full member subscription £7 £
Joint members at £1 each ( members ) £
Extra badges at £2-50 each ( extra badges ) £
Baseball Caps at £4-00 each ( base ball caps) £
TOTAL £

Payment method Cheque or postal order (Delete as appropriate). Cheques made payable to Northern Kite Group

Signature Date

Please print off the below form and send it with your subscription to :
Mrs Mary Jones, Treasurer, Northern Kite Group, 337A Downall Green Road, Ashton in Makerfield, Wigan, WN4 0NB