Membership Form

Please complete on screen and click the 'Print this Form' button at the bottom of this page.

Your Name: 

Name of member recommending you: 
(for 2 months free additional membership)



Your Address: 
Please include Post Code
Telephone: 
Mobile: 
email: 
How did you hear about us? 
Single Membership £25
Family Membership £30
Overseas Membership (outside UK) £36
Please Select: New Member      Renewal   

Family Membership

Please list additional members:
(All must reside at same address)
 

Please send your form and cheque to:
(Sterling only and made payable to the Agility Club)

Virginia Harry, 6 Fane Way, Maidenhead, Berks, SL6 2TL

Membership acceptance is at the discretion of the committee