Membership Application

Please complete the membership application request form below. You will receive an email confirmation (if you tick send me a copy) print out the email yopu receive, sign it and put it in the post (or deliver by hand if paying by cash or credit card), together with two passport size photographs (per member) together with your fee (please submit one form per member of your family)

Please make cheques payable to Starburst Ltd.
Send Form to: Eddies Bowling & Snooker, Radford Way, Billericay, Essex, CM12 0DX

Title*		First Name:*
Surname:*		Date of Birth*




House Name / No:*		Road Name:*

Town:*		County*
Postcode*		Existing Membership No:
Tel*		Email*
Mobile No		Confirm Email Address:
		I wish to become (or remain) a member of Eddies and agree to abide by the rules of the club	I AGREE
	Please tick this box if you would like to receive further information about offers or products from Starburst Ltd
	Also send me a copy
Enter the code shown above:
Submit
*Required