Common use of OFFICE USE ONLY Clause in Contracts

OFFICE USE ONLY. Pro Rata Amount: Date of Pro Rata Payment: Suspension End Date: Next Debit Date: Actioning Manager: Manager Signature: Date Signed: APPENDIX 3 CHANGE OF MEMBERSHIP FORM PERSONAL DETAILS First Name: Last Name: Mobile No.: Email: Home Club: New membership type requested □ Level 1 □ Level 2

OFFICE USE ONLY. Pro Rata Amount: Date of Pro Rata Payment: Suspension End Date: Next Debit Date: Actioning Manager: Manager Signature: Date Signed: APPENDIX 3 CHANGE OF MEMBERSHIP FORM PERSONAL DETAILS First Name: Last Name: Mobile No.: Email: Home Club: New membership type requested □ Level 1 □ Level 2:

OFFICE USE ONLY. Pro Rata Amount: Date of Pro Rata Payment: Suspension End Date: Next Debit Date: Actioning Manager: Manager Signature: Date Signed: APPENDIX 3 CHANGE OF MEMBERSHIP FORM PERSONAL DETAILS First Name: Last Name: Mobile No.: Email: Home Club: New membership type requested □ Level 1 □ Level 2