northern uproar_application form
Northern Uproar Membership Club.
To Join the Fan Club:*(Please print or copy this form)*
Application Form (To be completed in block capitals please).

Membership Application Form
First Name. _
Surname. _
Address. _
_
_
Country. _
Tel No. _
Date of Birth. _______/_______/_______
Age. _
Male/Female. _
*If under 16 years old please ask your guardian to sign*
Guardian's Signature. _
Your Signature. _
Date. _
Yearly Membership for Northern Uproar Membership Club is:
£11.99 UK./ £13.00 Eire./ £15.00 Europe./ £18.00 Rest of the World.
Please send Cheque/Postal Orders (UK only). Europe and Rest of World: Bankers Draft/International Postal Order/Eurocheque (Pounds Sterling Only) made payable to:
Northern Uproar Membership Club,(together with this form).

...Then you will receive the following goodies!....

Poster.
Enamel Badge.
Membership Card.
Merchandise Leaflet.
Condom (where applicable).
Official Postcard Collection.
Quarterly Tape telling you all the latest gossip!

P.O.Box 102,TRURO,TR1 3RF. (UNITED KINGDOM)