CYM Sports Club

APPLICATION FOR MEMBERSHIP

please mail to: Tennis Secretary, 54 Terenure Rd North, Dublin 6w

Name:------------------------------------------------------------------------------

Address:---------------------------------------------------------------------------

            -----------------------------------------------------------------------------

            -----------------------------------------------------------------------------

E-Mail Address:-----------------------------------------------------------------

Phone : (Home) ---------------------------------

            : (Office)--------------------------------

            : (Mobile)-------------------------------

Date of Birth : ---/---/--- (if under 21)

I hereby apply/re-apply for Membership of the C.Y.M. Sports Club and I undertake, if elected/accepted, to faithfully adhere to its rules and to promote its welfare by every means in my power.

Signed:---------------------------------------                           Date :--------------------

I also apply for membership of the ------------------------------ Section

Society Fee: €---------------                            Section Fee: €------------------

PROPOSER’S CERTIFICATE (New Members)

We, the undersigned members of the C.Y.M. Sports Club, hereby declare that we have known the above named applicant for ----- years, and we believe him/her to be of good character and we consider him/her to be a fit and proper person to be admitted for membership of the Sports club.

Proposer:-----------------------------------------                    Date:----------------

Seconder:-----------------------------------------                   Date:----------------

Applicants Credit Card Details

Full Name on Credit Card:  ……………………………………  Expiry Date: ……….

Card Type Type:   (Visa, Mastercard, AM Express etc.)                         ……………

Credit Card No.: …………………………………………….  

Amount: …………………………………………………….

Signature of Credit Card Holder:……………………………..