Secretary:                 Secretary: Mrs. Elaine Nellist, Moss Barn Farm Bashall Eaves    Clitheroe Lancs.                                                                                                                                                           Membership Application For 2010.                     Please complete and forward this form together with a cheque & large stamped addressed envelope    with the correct fees to :  (ensure correct postage added)                 Janette Procter                 ADRC                   39 Thwaites Road                 Oswaldtwistle                 Accrington, BB5 4QT                               Cheques made payable to: Accrington and District Riding Club                           ADRC USE ONLY Name Of Members:           Date of Birth Number Sent                       1.                                           2.                                           3.                                           4.                                                                 Address:                                                                                                                                   Postcode         Do you live in Hyndburn? Yes / No                                                 Telephone No. Home       Mobile                               Emergency Show Day No.                                                             e-mail address**                                             **if email address supplied newsletters etc will be emailed rather than posted                                                   Existing Members (ie. 2009 members) New Members (fees below include joing fee)   Fees:   Before 01/04/10 After 01/04/10 Before 01/04/10 After 01/04/10       Price tick Price tick Price tick Price tick   Senior   £21.00   £22.00   £23.00   £24.00     Junior   £19.00   £20.00   £21.00   £22.00     Family*   £38.00   £40.00   £40.00   £42.00     Non-Comp. £8.00   £8.50   £10.00   £10.50                           Please note New members joining fee also payable for memberships lapsed for over one year +£2.00                         * Family membership - Upto 3 Juniors and one parent. Names must be nominated on this     form in order to qualify for points.                                                           Signed             Date