200 CLUB - APPLICATION FORM

Please complete and return this form to the School for the attention of the 200 Club Secretary.

I wish to apply for membership of the Dover Grammar School for Boys Parents and Friends Association - 200 Club. I agree to the rules and to subscribe £1.00 per month for the period of one year. I understand that my membership number will be included in all draws held by the Club.

I enclose cash/cheque (please delete as appropriate) to the value of £. . . . . .

in Respect of my first 6/12 months (please delete as appropriate) subscription.

OR

I wish to pay by Banker's Standing Order every 6/12 months (please delete as appropriate) and enclose a completed form.

Signature.........................................            Date...........

PLEASE PRINT THE FOLLOWING:

Name......................................

Address..........................................................................

......................................................................................

Post Code...................            Telephone number ...........................
 

Son's name.......................................... Son's form..................