NVAC.co.uk

I wish to renew my membership to NVAC for 2010. I enclose £10 (second claim) or £15 (first claim to include EA levy) or £5 (Social) cheque made payable to Northern Veterans AC and sent with a 9 x 6 SAE to:

Address :   ...................................................................................................................

.....................................................................................................................................

Post Code :    ........................................      Tel. No. :   ..............................................

E mail address :  ..........................................................................................................

Date of birth : ..............................      NVAC number (if known): ..............................     

First claim club :  ........................................................................................................

EA Registration number :   ........................................................................................

Your EA Registration number will be on your new membership card provided by England Athletics.

PLEASE PROVIDE THIS NUMBER WHETHER YOU ARE A FIRST CLAIM OR SECOND CLAIM MEMBER OF NVAC.

I agree to my details being kept on computer by NVAC and BMAF to allow information to be sent to my home address. Also to allow NVAC and BMAF to verify my eligibility to compete in veterans' events.

Signed : .....................................................   Date :  .....................................................