Race Walking Association


200 Club

Application form for new member

If you would like to join the 200 club or take on another number please
complete this for and send it to:

Bill Wright (200 Club)
212, Weddington Road, NUNEATON, CV10 0ER


Your name:              _____________________________
                                                                   Print details clearly please

                                   Your address:          _____________________________



                                   How many numbers do you require?                  _______


                                   Sign and date:         _____________________________

                                   Please send a cheque for £13 per number requested payable
                                   to RWA.