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Affiliation Form

Affiliation Form

Please fill out the form below

As an alternative to completing the 2019 Phab Affiliation Form by hand, you can complete this on-line version and submit direct to Phab, Summit House. Please send the Affiliation Agreement Form and all other relevant paperwork, together with a cheque made payable to “Phab Limited” by post to Summit House. For any queries, please contact Matthew Joyce – matthew.joyce@phab.org.uk

Venue (Meeting Place Address)

Leader/Main Contact information

Safeguarding Officer Information

Additional Email Addresses

Please give additional email addresses for club contacts who can download and print email bulletins for members.This will not replace the standard postal mailings to your club but will enable Phab to inform you quickly of relevant services or opportunities which may be of interest to your club members.

Club Details



Club Insurance

Yes, we are insured

If another insurer is used, please attach a copy of the insurance certificate, which must include Public Liability, to this form.

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