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CCTP MEMBERSHIP APPLICATION FORM
Membership Category
Mini (4yrs
- 11 yrs inc) £
Junior (4yrs - 17yrs inc)
£
Student (18yrs
- 21 yrs inc) £
Guardian
£
Adult (17 yrs +)
£
Family (2 adults & 2 children)
£
PLEASE
CONTACT PHIL BARRON/JANE GREY FOR CURRENT PRICES
Name : _______________________________________________________________________
Address: _______________________________________________________________________
_______________________________________________________________________
Postcode: ______________ Telephone Number
_____________________________________
email:
___________________________________________ D.O.B.
______________________
(4yrs - 17yrs)
___________________
Please forward this completed
form, together with your cheque made payable to CCTP to Jane Grey, C.C.T.P.,
c/o 5 Nairn Road, Parkside Chase, Cramlington, Northumberland NE23 1RQ
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