THE NATIONAL LURCHER AND RACING CLUB
PRESIDENT CHAIRMAN VICE CHAIRMAN CLUB SECRETARY CLUB TREASURER MEMBERSHIP SECRETARY
MR M ALDHOUS MR N VARNEY MISS S McDOWELL MRS L VAUGHAN MRS S BRAITHWAITE MISS H SWAN
OFFICIAL APPLICATION/RENEWAL FORM
FULL NAME/NAMES
SURNAME
ADDRESS
. POSTCODE
TELEPHONE
MEMBERSHIP NUMBERS
..
MEMBERSHIP RENEWAL [ ]
SINGLE MEMBERSHIP @ £7.00 [ ]
COUPLE MEMBERSHIP @ £8.00 [ ]
FAMILY MEMBERSHIP @ £12.00 [ ] PLEASE INCLUDE ALL NAMES
JUNIOR MEMBERSHIP @ £ 3.00 [ ] UNDER 16
GOODS AVAILABLE VIA POST
STUD IN GOLD PLATE £3.00 [ ]
ENAMEL BADGE £3.50 [ ]
PEWTER BADGE £2.50 [ ]
NLRC TIE £10.00 [ ]
ADDRESS BOOK £1.25 [ ]
NOTE BOOK £0.75 [ ]
SPECIAL EDITION LAMBOURN BOOK £10 [ ]
TOTAL [ ]
PLEASE MAKE CHEQUES PAYABLE TO N.L.&R.C. FOR GOODS ORDERS PLEASE ADD £1.00 P&P.
FOR OR FOR ORDERS OF THE LAMBOURN BOOK PLEASE ADD £2.50 FOR P&P
PLEASE ALLOW 28 DAYS DELIVERY OF ALL GOODS AND MEMBERSHIP.
R RETURN TO
MEMBERSHIP SECRETARY.
58 WESSINGTON LANE,
S.WINGFIELD
ALFRETON.
DERBYS
DE55 7NB
