social membership documentation 2014

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Derwent Hockey Club Social Membership Application Form

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Derwent Strikers Social Membership

Derwent Strikers sponsored by:

The Derwent Hockey Club is proud of its history, hardwork, dedication and success throughout its 79 years within the Southern Hockey Competition. In 2014 social membership is re-turning for Derwent supporters who for whatever reason do not play anymore, or for those people who support our teams from the sidelines, whether it be parents or former players. This membership includes: Membership of the oldest Southern Club in Tasmania

Voting rights

Discount card at the POW Hotel,

10% Discount at Autobarn Moonah (upon production of

Derwent membership identification)

One item of official Derwent merchandise

An invitation to Club functions

Copy of all club newsletters

The membership/donation is only $50 and will go a long way to

keeping the playing costs down, supporting our juniors and

building the future

To become a member or for further information please fill in the

attached form and contact Jim Ansell on

james.ansell@police.tas.gov.au or 0417569620.

Derwent Strikers Social Membership

Derwent Strikers sponsored by:

Full Name:

Date of Birth:

Street Address:

Suburb:

Postcode:

Phone Contacts: home

business

mobile

email address

Please circle preferred form of receiving the newsletter: Post Email Please return this form with a $50 deposit/membership fee. This can be paid by:

Direct debit: Derwent Hockey Club, BSB 067-002, Account:

28034458 with reference to your name

By cheque to Derwent Hockey Club, C/- GPO Box 1553 Hobart,

Tas, 7001

By calling Blue Cube on 62243900 with your credit card details.

http://derwenthockey.asn.au

https://www.facebook.com/DerwentHockeyClub

@DerwentHockey

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