Social Club Membership Application


Complete this on-line form to apply for membership to the Social Club, you will be notified of the Committee's decision and of the appropriate membership fee to be paid.
Members are registered on the Parish Electoral Roll and have full voting rights at General Meetings
Associate Members are NOT registered on the Parish Electoral Roll and do not have voting rights at general Meetings, but DO have all other membership benefits
The Parish Electoral Roll is different from the Leeds City Council Roll
If you have any problems with this form, contact 07920 104064, or


Fields indicated by * are mandatory.

Enter your first name

Enter your surname

House No and Street Name

Enter City, Town or Village

Enter Postcode

Enter phone no inc dialling code

Enter your mobile no if you wish

Enter your email address

The Committe will contact your Proposer

The Committee will contact your Seconder

Tick if you do NOT want to be on the club distribution list

Are you on the Parish Electoral Roll?