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STOKESLEY and DISTRICT PROBUS CLUB Application for Membership


Forename ……………………                            Surname ……………………………   


Address…………………………………………………………….……………………………………………………………………


Postcode……………………… Tel. No.  …………………………....


Email Address ………………………………………………………..


Date of Birth ………………… Next of Kin …………………………


Past Profession or Business …………………………………………..


Interests and Hobbies ………………………………………………...


Proposer ……………………… Seconder ………………………….  


An electronic record of Names, Addresses and Telephone Numbers will be maintained and circulated annually to Members by email.  

Hardcopies will be provided on request to Members.

An electronic copy of email addresses will be maintained for Committee Members’ use only.

The GDPR requires that Members offer explicit consent to the internal Club use of their personal data. Your signed Application gives this permission.

Please talk to any Committee Member if you are interested in supporting the responsibilities of the Committee.



Signed ………………………………         Date………………………


COMMITTEE  RECORDS (Jan. 2019)


Date of Application ………………………………… Start Date of Membership …………………………….


Treasurer & Membership Secretary ……………………………………………………………………………………….


Chairman ……………………………………………………………………………………………………………………………….