Wolds Veteran Runners Club
Membership Form

First Name

Surname

Address

Tel.Number

E-Mail Address

Post code

1st or 2nd Claim 

Any other club

D.O.B.

Signature

Date

Membership is £10 per year 1st Claim, £5 per year 2nd Claim
Cheques payable to Wolds Veteran Runners Club Please enclose SAE

Post to S Green, 142 St. Nicholas Drive, Grimsby, DN37 9RF