SOCIETY OF LADY CAPTAINS OF KENT GOLF CLUBS APPLICATION FORM

Name…………………………………………… Address…………………………………..................................................... …………………………………………….................................................. Post Code………………………………................. (Please insert name and address in capitals) Telephone No………………………………Mobile………………………….. E-mail address………………………………………………………………………… Club and year of Captaincy……………………………………………………………………….. Current Club ………………………………......................... I WISH TO JOIN THE SOCIETY Signature…………………………………… If you wish to pay by standing order please complete the bank details on the separate form on the next page, or set up on line through on line banking to be paid at the 1st January. This will then be credited to your account each January. Please send the standing order form to your bank Please send this application form along with a £7 Cheque made payable to SLCKGC if you prefer not to do a standing order to: Mrs Susan Jones 17 Kingsdown Park Tankerton Kent CT5 2DT

Society of Lady Captains of Kent Golf Clubs

Standing Order Mandate Please Forward To Your Bank or set up on line.

To The:- Manager………………………………...........................Bank plc Address………………………………......................................................... ………………………………...................................................................... Post Code…………………………….. Account Number…………………….. Account Name……………………….. Please Pay: Nat West 140 High Street Herne Bay Kent CT6 5JX Account Name: Society of Lady Captains of Kent Golf Clubs Sort Code: 60-10-37 Account Number: 54080037 The sum of £7.00 (seven pounds) on the 1st January commencing on 1st January 2018 Quoting reference……………………................................................ (please put your name and the club you were Captain at for the reference above) This standing order to remain in force until cancelled in writing at the bank. Signature ………………………… Name ………………………… Address ………………………………............................................................... ………………………………............................................................... Post code ………………………