Membership Application


	Secretary:- Mr A.J. Todd, 9 The Grove, Heathhall, Dumfries, DG1 ITN Tel. 01387 262378. Mobile No 07790 434945 E-Fax 0870 125 7497


	E-Mail secretary@50missileclubra.com or tonytodd@dsl.pipex.com Web Site50missileclubra.com


	50 Missile Club R. A.


	Affiliated to the Royal Artillery Association . Patron :- Her Majesty the Queen. Registered Charity - No 238197. Web Site HTTP:\www.hall220.demon . Co.uk


	Application Form For Life Membership


	Surname. ……………………………………………... Christian Name's………………………………...... Address……………………………………………….. Nick Name/Short Name.......................................... ………………………………………………. Wifes Name............................................................. ……………………………………………….. Tel:-………………………………........................ ………………………………………………. Mobile……………………………........................ Post Code ………….. …………... E-Mail Address………………………………...... Corp's (if other than R.A) …………. Web Site Address………………………………...


	Service Details (in 50 Missile ) Final Rank/Current Rank …………….. Dates Served From ……/……/…… To ……/……/…… Battery (s)……. …… …… …… …… I enclose my Life Membership fee of £15. 00 + £15. 00 10 years fee for the clubs news letter the "Mendener " this is a optional charge (all cheques /Po's to be made payable to 50 Missile Club R.A .) Date ……/……/……. Signed………………………………………..


	Please send me a Membership Card for the Club Branch of the R. A. A I enclose £1.00 for my Membership Card. I am already a Member of the R. A. A Ye's/No For your Records my Branch is……………………………….


	For Official Use Only Date Received ……./……/…… Cheque /Po No …………………… Amount ………………. In Reg …… In Comp ……… Weekly Record No ………… Rec No …… Date Sent Out ……../……../……… Mendener Paid............... Membership No …………….