Application Form

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Medway River Users Association

Please print and return the attached form giving as much of your interests and details as you would like to.

To: Pat Fyfe - Membership Secretary, MRUA

68 Halstead Walk, Allington, Maidstone, Kent, ME16 0PV

E-mail: themrua@tiscali.co.uk

Please enrol me in and accept my subscription for full membership of the Medway River Users Association. I enclose my remittance of £10* made payable to MRUA.

Please note that membership runs from 1st April of any year. However, if joining after 1st July then only £1 is payable for each remaining month i.e. join in July, pay only £9, September £7 etc.

Your name: ______________________________________________

Partner’s name: ___________________________________________

Address: _________________________________________________

_________________________________________________

___________________________Postcode______________

Phone: ___________________________________________________

E Mail: __________________________________________________

Principle interests e.g. Angling, Boating, etc. _____________________

________________________________________________________

Clubs/Associations_________________________________________

Boat Name: ______________________________________________

Moored at: ______________________________________________