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APPLICATION FORM |
Crann Tara
[ Fiery Cross] Application for Membership Title/s Surname .Forename/s Address............................................................................. ........................................................................................... Town ..County ... Country
..Postcode
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Date of Birth / / Nationality . Tel no. Home .Mobile E-mail Address .. Occupation . Skills/ Interests/ Hobbies ... ... Reasons for requesting membership
Additional Information about yourself
Persons under the age of 16 considered for free membership Name/s Age .. Name/s ... .Age .. Name/s . ..Age .. Declaration/Disclaimer I confirm that the information is correct and true at the time of writing. I have read and understood and agree to comply with the Rules and Regulation and Constitution as set by Crann Tara [ Fiery Cross ]. This application submission does not automatically guarantee you group membership and any decisions regarding this application are final and are not subject to any appeal. Should membership be granted, Crann Tara has the right to revoke it should the Rules and Regulations be broken. Further to this application the information given will be held in the strictest confidence and will not be disclosed to any third parties.
Membership Fee £5.00/ Donations optionalI here by enclosed the sum of £ Applicants Name : Print .. . Signed Sponsor's Name . Date: D .M ..Y ..
Please print clearly using either a black or a blue biro pen, and clip two passport photographs to the top right hand corner. |
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