Keyworth and District Probus Club

Expression of Interest in Joining Probus.
Please complete the form below and return to: the Secretary, 9 Far Pastures Close, Keyworth, NG12 5RB
First Name

Family Name

Address



Post code

Landline and mobile numbers

Email address

Career details/qualifications





Partner's name

Applicant's signature


If you wish make an enquiry by email please use the following address:
enquiry@keyworthprobus.org.uk


The information you have provided on this form will be used by the club for the purposes only in connection with the running of the club, which includes communicating by post, telephone and email. It will never be disclosed for marketing purposes.The committee produces a directory of members, available only to the members, in which this information will be published.


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