Welsh Masters Athletic Association
www.welshmastersathletics.com

Registration 2010

I wish to take out registration as a competitor of the 
Welsh Masters Athletic Association.

I declare that I am an amateur as defined by UK athletics rules, and that I have not and
 will not use drugs or other substances to enhance my performance.

I understand that payment is due on January 1st of each competitive year, 
and if not paid it could affect my eligibility to enter Masters competitions.

(Please print details below)

Surname_______________________________________________________________________

 Fornames_______________________________________________________________________

Date of Birth____________________________________________________________________

Address_________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

Postcode________________________________________________________________________

Phone Number____________________________________________________________________


 E-Mail_________________________________________________________________________    
        
          First Claim Club_______________________________________________________________
                      

  New/Previous Member         (Please delete as necessary)

              Membership fee                £12.50         (If paid before 1st March 2010)
                            £15.00 (If paid after 1st March 2010)            
                                              (Please make payment to WMAA)



                       Signature______________________________________________________________________________________

The membership fee includes an affiliation levy to BMAF, this levy also pays for delivery
 of "Masters Athletics" the quartly Masters magazine.

Stamped addressed envelope for membership card returns to.

Membership Secretary
Mrs Sue Hooper
28 Mill Common
Undy
Monmouthshire
NP26 3JH

   
 
 
   
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