Lakeland Outdoor Club Cumbria Affiliated to the CCBN Honorary Secretary Marian Kent 01484 863036 Honorary Treasurer Mrs. Ann Charles 01539 560742 WEBSITE www.loc.ic24.net MEMBERSHIP APPLICATION FORM PLEASE COMPLETE IN BLOCK LETTERS FOR ALL PARTICIPATING FAMILY MEMBERS SURNAME FORENAME AGE SINGLE MARRIED OCCUPATION .................................................................................................................... .................................................................................................................... .................................................................................................................... ..................................................................................................................... ..................................................................................................................... ..................................................................................................................... ..................................................................................................................... FULL ADDRESS …………………………………………………………………………………………… ……….……………………………………………………………………………………………………… TELEPHONE No. ………………………………….. POSTAL CODE ………………………………. ARE YOU A CURRENT MEMBER OF THE CENTRAL COUNCIL FOR BRITISH NATURISM? YES/NO IF YES, WHAT IS YOUR C.C.B.N. MEMBERSHIP NUMBER ……………………………………….. ARE YOU A CURRENT MEMBER OF ANOTHER NATURIST CLUB AFFILIATED TO THE C.C.B.N.? YES/NO WHICH IS YOUR PRINCIPAL CLUB? ………………………………………………………………….. MEMBERSHIP FEES FROM 1ST JAN TO THE FOLLOWING 31ST DEC. ALL CHEQUES/POSTAL ORDERS SHOULD BE CROSSED & MADE PAYABLE TO:- LAKELAND OUTDOOR CLUB 2008 Family or Couple £35.00 Single £25.00 PLEASE RETURN TO:- Mrs. A Charles, 19 Greenway Drive, Endmoor, Kendal, Cumbria LA8 0EL, England (UK) With S.A.E. for card Tel. 01539 560742 Signature ………………………………………… Date …………………………………….. Publicity Survey – How did you find out about L.O.C.? …………………………………..