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Membership Forms Sept 21

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Membership Application

PLEASE PRINT DETAILS CLEARLY


Mr / Mrs / Miss / Ms / Other Name: ………………….……………………….………………………...

Date of Birth: ………………………….. Age: …………………. Male / Female (Ring As Appropriate)

Address: …………………………………………………………………….…………………………………

Postcode: ……………………… Telephone Number: …………………………………..………………….

Email: …………………………………………………………………………………………………...……...

I apply for membership of Ladybarn Social Club as a (tick as appropriate & see fees overleaf)

Full Member* (Under 65):  Full Member* (65 & over):  Student*: (ID Required) 

Do you know any members of the Club ?………………………………………………………………………

I hereby agree to the terms of membership and agree to abide by and uphold the registered rules and
bylaws of Ladybarn Social Club as registered with the Financial Services Authority under the Co-operative
and Community Benefit Societies Act 2014. I also understand that this application does not automatically
grant membership.

Signed: ……………………………………………. Dated: ………………………………

FOR OFFICIAL USE ONLY

Membership Form Received By: ………………………………………………… Date: ……………………

Fee Paid: £…………. Received By: ……………………………. Receipt Number: …………………

Membership Number: …………………….. Fob Number: ……………… Entered By: ……………….

New Members Only:

Date Membership Posted: ………………. Date For Review: ………………. Date Accepted: …………..
Membership Fees Per Year

The Club operates a Pro-Rata fee system for new memberships as per the below table.

The below initial fee includes an additional one off deposit fee of £5 for the entry fob at time application.

Month of Application Under 65 Fee 65 & over / Student fee


January £25 £15
February £23.30 £14.15
March £21.60 £13.30
April £19.90 £12.45
May £18.20 £11.60
June £16.50 £10.75
July £15 £10
August £13.30 £9.15
September £11.60 £8.30
October £25 £15 )
November £25 £15 ) up to 3 months free
December £25 £15 )

Membership Terms
Full membership allows entry, use of facilities, a vote and one share in the ‘Club’.

Membership does not start until your application has been processed and accepted by the Management
Committee.

All accepted new memberships are subject to a six month probationary period. Any breach of the Club
rules will not be subject to the Clubs normal Discipline procedure and membership may be cancelled with
immediate effect at any time by the Management Committee.

Membership is for one year, running from 1st January to 31st December. Fees become due on 1st January,
and must be paid by 31st January, or you will be viewed as in arrears. If payment is not made by 1st
February, a penalty fee of up to £5 may be levied at the discretion of the Management Committee.
Current yearly fee to be paid in the following January is either £20 or £10.

Student membership only allows entry & use of facilities and requires a valid Student ID.

Initial membership fees include a £5 deposit charge for the entry fob, which must be used at all times to
gain entry to the Club.

* The Club Management reserves the right to alter Membership prices as well as Terms and Conditions from time
to time, without prior notice.

Please place completed form and required fee into an envelope and seal it. Then hand to any Committee
Member or Bar staff who will place it into the locked membership box behind the bar.

Thank you for supporting this, your “Ladybarn Social Club”.

Find us on social media:


@Ladybarnsocialclub

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