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Race Walking Association

1907-2012

200 Club

Application form for new member

If you would like to join the 200 club or take on another number please
complete this for and send it to:

Bill Wright (200 Club)
212, Weddington Road, NUNEATON, CV10 0ER

                               


Your name:              _____________________________
                                                                   Print details clearly please

                                   Your address:          _____________________________

                                                                   _____________________________

                                                                   _____________________________

                                   How many numbers do you require?                  _______

   
                                


                                   Sign and date:         _____________________________

                                   Please send a cheque for 13 per number requested payable
                                   to RWA.