Membership Form On-Line Membership Form You may complete and print this form direct from your browser TITLE /RANK NO FIRST NAME SURNAME DIVISION SECTION /DEPARTMENT HOME ADDRESS (If retired) I wish to join Division Sports & Social Club I authorise to be deducted from my pay/pension each month/fortnight in respect of membership to the Lancashire Constabulary Sports and Social Club. Note: Monthly subscriptions are: £2.00 per month - Northern, Southern, Eastern and Pennine - £2.30p Western Division - £2.50p Central Division £3.25p Headquarters SIGNED ............................................................................................................................ DATE PAY / PENSION REFERENCE NUMBER (IF KNOWN) Sign and return this form by post to: PC Steven Broadbent, (Club Membership Secretary) Carnforth Police Station, Haws Hill, Carnforth. LA5 8LY. 
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