DARTMOUTH & DISTRICT CONSERVATIVE CLUB - 8 Victoria Road, Dartmouth, Devon, TQ6 9SA - 01803 832577

DARTMOUTH & DISTRICT CONSERVATIVE CLUB

RENEWAL FORM 2019

Please retain your receipt.
ALL fields must be filled in. £26.00 single membership £46.00 joint.

I, the undersigned, being a member of the club, do hereby declare that I am a supporter of the Conservative Party and that I will abide by the rules and by-laws of the Club. I will not wittingly, by word or deed, do anything prejudicial to the interests of the Conservative Party or the club.  I agree that any default in the observance of this pledge shall justify the Committee in terminating my membership.

 

(Mr/Miss/Ms/Mr and Mrs.) Surname…………………………………………………...................................

 

Forenames ……………………………………………………………Life or Ordinary ………………………

 

Address (House name/number) ……………………………………Street/Road ……………………………...

 

Town …………………………………………….County ……………………………..Post Code …………..

 

Year of joining (If known) ………… Tel/mobile………………. ……………………………………………..

 

E-mail Address …………………………………………………...................Method of Payment ……………

I confirm that by paying my annual subscription, and by signing this form I have read the Dartmouth & District Conservative Club privacy notice which is displayed on the Club Notice Board and Website and understand and agree with what it says concerning  the Data Protection Act and the General Data Protection Regulation.

 

Staff Name …………………………Member’s signature ………………………………….Date ……………

 

 

 

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