APPLICATION
FOR MEMBERSHIP
(use block letters please)
FULL
NAME
E-MAIL
ADDRESS
ADDRESS
Date
of Birth
I apply
for membership of the RipleyBlues club.
Signature
of Applicant
Date
Signed
Please post this form
with a cheque for £15 (payable
to RipleyBlues) to
RipleyBlues Club, c/o Bailey Motte Cottage, 1 Foundry Gardens, Knaresborough
HG5 8BB