(Applicants must be 18 years of age or over)

I, the undersigned, being a candidate for election to Wells Conservative Club, do hereby declare myself to be Conservative
and that I will abide by the Rules and Bye-Laws of the Club; I also pledge myself to support the Conservative Party.
Any contravention of this declaration shall justify the Management Committee terminating my membership of the Club.

Title: First name: Surname:

Date of birth:    Occupation:

Address line 1:    eMail:
Address line 2: Mobile phone:
Town/City: Home phone:
County: Work phone:
Postcode: Fax:
Prefered contact method:

Proposer: Known for years months
Seconder: Known for years months

The Proposer must have been a member of the Club for 2 years and the Seconder must have been a member of the Club for 1 year. Both must have known the applicant for at least 6 months.
No member can propose or second an application on more than three occasions in a calendar year.

The Membership Sub-Committee will invite prospective members to an informal meeting as soon as possible after a recommendation has been made. The Management Committee reserves the right to refuse any application.