Fete 2013 Motcombe Memorial Hall

Registered Charity No. 274868

200 Club Winners

PLEASE PRINT THIS PAGE - COMPLETE IT - AND SEND IT TO THE ADDRESS GIVEN BELOW

Name



Address









Tel. No:



E-mail



Number of Shares Required:



Price per share (See Rule 9)



I have read and accept the rules of the club, I am aged 16 or over and enclose
a cheque for  £.....


Signed







Cheques should be made out to Motcombe Memorial Hall.


Please send or deliver completed forms with your subscription to the Promoter:

Bob Chimley,  13 Stainers Mead,

Motcombe, Shaftesbury, Dorset, SP7 9QF


On receipt of your subscription you will be entered on the register and a unique number will be allocated for each share purchased. A confirmation of the entry will then be sent or e-mailed to you.