Application Form
BuiltWithNOF02

CIYMS MEMBERSHIP APPLICATION FORM

Personal Details

Name:

Title:

Address:

City:

Post Code:

Contact Details

Telephone:

(Home)

D.O.B.

(dd/mm/yy)

(Mobile)

E-Mail:

Please tick this box if you give permission for CIYMS to contact you by e-mail:

Membership Information

Please indicate the activity in which you are primarily interested:

The type of membership that you prefer (at this time family membership is only available with tennis):

Is your interest of a ‘Playing’ or ‘Non-Playing’ nature?

Please submit the names and addresses of any members of CIYMS who would be able to vouch for you. If you do not know any members please submit the application form and the office will contact you.

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