Sudbury Institute Club
Application Form
Kindly place my name before the Committee as an applicant for membership of the
Sudbury Institute Club.
I am over 18 years of age.
If elected, I agree to abide by the rules of the Club. I understand that I cannot take up
membership until I have paid such dues as demanded.
Please fill in clearly in block capitals
Name in full
Mr / Mrs / Miss / Ms or any other status (Please circle)
Address
Tel No.
Email
Present or previous occupation
Signed
Date
Proposed by
Signed
Seconded by
Signed
Countersigned by member of Committee
Print Name
Print and complete this form. You will need 2 Club members to act as your Proposer and Seconder. If you are new to Sudbury and don't know any Club members, drop into the Club and ask for help. If we like the cut of your jib (or you buy us a beer). Somebody will be able to help.