New Membership Application

 

 

 

 

 

 

 

                                     £10 per year ~  Renewable in January

 

 

 

 

 

 

 

                                         Please complete this form and send it to:

   SPTC Membership Secretary,  6 Spartan Close,  Langstone,  Newport  NP18 2BH

                              together with a cheque for £10  made payable to SPTC.

Name

 

Address

 

 
 

Tel no

 

Email

 

                        If you agree to the details above (except first line of address & postcode)
                                  being given to other SPTC members, please tick this box.

Children

Forename(s)

Gender M/F

Date of birth

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Where did you find out about the SPTC?

   
Did you obtain this form from :    

                         Our website?

Our enquiry telephone line?   Our e-mail enquiry?