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Sunday 27 July 2008
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ENGLAND ATHLETICS

APPLICATION FOR AFFILIATION

Please Print ALL Answers clearly

 

Part 1 –Association/League/Other Organisation Details

 

Name of Association/League/Other Organisation

 

 

 

Please state any other associations to which the Association/League/Other Organisation is affiliated

 

………………………………………………………………………………………………………...............

 

Part 2 - Contact Details

  1. Name of Secretary:

 

 

  1. Secretary Address:

 

 

 

 

 

  1. Postcode:

 

 

  1. Secretary BEST Contact Number:

 

 

  1. Secretary Email Address:

 

 

 

Part 3 – Declaration

 

ON BEHALF OF……………………………………………. I APPLY TO AFFILIATE TO ENGLAND ATHLETICS.

THE  ASSOCIATION/LEAGUE/ORGANISATION AGREES TO ABIDE BY THE RULES AND POLICIES OF UK ATHLETICS AND ENCLOSE THE FEE OF £50.00

 

Secretary Signature:……………………………………………. Date:………………...

 

Part 4 – Required enclosures (please tick ü)

 

Fee £50.00

 

 

Club Constitution

 

 

Minutes of the meeting approving application for affiliation

 

 

When completed please return to Athletics Services, Central Boulevard, Blythe Valley Park, Solihull West Midlands, B90 8AJ. If you have any queries please contact Athletics Services 0121 713 8454 email nsykes@athleticsservices.org.uk

………………………………………………………………………………………………………

For office use only

 

Fee Received………….                                                                                        Date Application Received…………….             

Date Application Checked by Athletics Services.............                                             Date Sent to Region…………………….                             

Date Approved by England Athletics Board……………..

 

 

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