Membership Application Form

A printable, PDF version of this form can be downloaded from here.

Notes on completion:

1. Annual membership fees are renewed on 1^st April. New members pay a pro rata fee for each full month between their application date and the annual renewal date. Annual and monthly pro rata fees are as follows:

   	Annual	Pro rata
   Senior (over 16 years old on date of application/renewal)	£30/annum	£2.50/month
   Couple (2 co-habitating seniors)	£50/annum	£4.20/month
   Family (2 adults & any children under 16 on date of application/renewal)	£60/annum	£5.00/month
   OAPS	£15/annum	£1.25/month
   Students (In Full Time Education)	£15/annum	£1.25/month
   Junior (under 16 years old on date of application/renewal)	£15/annum	£1.25/month

2. Cheques made payable to "Andover Triathlon Club". Do not send cash.
3. Send two passport style photographs, completed form and membership fee to:

   ATC Membership

   Francesca Cortvriend

   18 Whynot Lane

   Andover

   Hampshire

   SP10 3ES.

4. * Choose one from the selection
5. Do you want your email to be added to the ATC mailing list? Add me to the list Don't add me *

Date: Signature:

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