finance - dublin city centre club membership application form 2006/2007

finance

dublin city centre club membership application form 2006/2007

(Please complete the Form in Block Capitals)

NOTE: - Your membership card will be sent via internal mail.

I wish to become a member of the Dublin City Centre Club for the Year 2006/2007. Please deduct the annual charge of €12 from my salary. (Please tick the box)

Name:
Payroll I.D. Number: (located on your payslip)
School/Unit:

Payroll System (Please tick)

Weekly

Monthly