TOTTON CONSERVATIVE CLUB LTD
1 SOUTH PARADE, TOTTON,
APPLICATION FOR MEMBERSHIP
Prospective members are informed that is a condition of membership that every club member is a subscribing member of the Conservative Party.
Please print clearly:
Title; Mr / Mrs / Miss / Other (Please State) _______________
Full Name; _________________________________________
Address; ___________________________________________
__________________________________________________
Telephone No; ______________Mobile No; _______________
Date of Birth; _______________Occupation; ______________
E-Mail; ____________________________________________
Do you belong to any other clubs?
If so which one? ________________________________________
Proposer;
Name; _____________________Signature________________
Seconder;
Name; _____________________Signature________________
Your proposer or sponsor will be required to attend your interview to support your application.
If you have recently moved to the area, please supply us with a referee that we may contact for a suitable reference i.e. Club membership elsewhere or employer.
When are you available for interview ? – (Please tick accordingly)
Weekdays
Weekends
Mornings
Afternoons
Evenings
Annual Subscriptions are due on 1st January every year. An initial joining fee of £15 is required.
Full member £15 per year
Over 65 £7.50 per year
An additional £5 per year is also payable for concessionary membership to the Conservative Association.
Date of Application_________________________________
www.tottonconservativeclub.co.uk