APPLICATION FORM
THE PROBUS CLUB of BOURNE END and COOKHAM
MEMBERSHIP APPLICATION FORM
Full Name: _________________________________________________
Address: _________________________________________________
___________________________ Postcode:______________
Telephone: ___________________________ Date of Birth:___/___/___
E-Mail Address: ______________________________________________
Marital Status: ________________ Wife’s First Name ________________
If partner, then give full name ____________________________________
Previous Occupation ___________________________________________
It is hoped that all new members will be willing to support the Club by serving as a member of the committee at some stage. Do you have any special skills/experience (e.g. accountant, manager, medic, administrator, etc.)
Signature______________________________________________________
Proposer_______________________ Seconder ______________________
Please return the completed form to the Honorary Secretary
Please read about Data Protection before you sign.
General Data Protection Regulations 2018
For the purposes of administration, communications, and the production of the Members Handbook; the Club will maintain your personal data as contained in this Application Form on file. The information will be used only for the purposes stated and will not be divulged to any third party without your consent. In applying to join the Club and signing this form you hearby agree to this arrangement.