Cliftonville Community Application form

APPLICATION TO JOIN

The above voluntary organisation has been set up to purchase the Coatbridge Indoor Bowling Club premises situated in Quarry Street, Coatdyke, with the intention of creating a community Hub.

Membership is free.

I am aged 16 or over and live within a two mile radius of the premises.

I fully support the aims of the group and wish to be enrolled as a full / associate member.
Name

TitleFirst NameLast Name
Address

Street Address

Street Address Line 2

Town

Post Code
Email (Optional)
example@example.com
Your Contact Details will only be used to communicate with you on organisational matters. It will not be divulged to any third Party.
Additional Comments
Date

DayMonthYear
Date
Office Use

Street Address

Street Address Line 2

Date ReceivedMembership Number

Card Issued
Should be Empty: