Istead & Ifield Harriers

Application for Membership

I...................................................(name in block capitals) wish to become a member of the Istead and Ifield Harriers and declare that I am a bona-fide amateur according to the defination set out below

“An amateur is a person who abides by the eligibility rules of the AAA/WAAA”


Signed........................................................ Date..............................................................................

*I am/am not a member of another athletic club (please delete as appropiate).

Name of other club (if any).............................................................................................................

Date of Birth.............................................Where Born...................................................................

Nationality..................................... .Name in full (block leters).....................................................

Address in full (block letters)..........................................................................................................

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

Telephone Number: Home...................................... Work.............................................................

Mobile..................................................................... Email.............................................................

Return to Membership Secretary with first year’s subsription:

Single Membership £14 per year
Joint Membership £21 per year
Second Claim Membership £6 per year
Student Membership £6 per year
Over 65 Membership £6 per year

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

Received from ...................................................... The sum of £..............................................

Date.......................................................................Signed............................................................

.....................................................................................................................................................
VEST ORDER FORM

NAME................................................... ADDRESS..................................................

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

Please order.................... (quantity) club vest (£14) / Crop Top (£10)