- Anyone living in either Burscough or Lathom can become a member of the Lathom and Burscough OPC.
- You must be over 60 years of age.
- There is no charge for membership of the Lathom and Burscough OPC.
If you wish to become a member of the Lathom and Burscough OPC please fill in an application form giving your details.
To return to the home page please click on the link below
You can obtain an application form from the club and committee members
Or click here to download a copy of the Lathom and Burscough OPC application form:
Completed application forms should be returned to any committee member.
You will then receive a membership card and number.
Application for Membership
Lathom and Burscough Old Peoples’ Club
As a resident of Lathom / Burscough, I wish to be admitted to the club.
Title……….. Forename…………………………… Surname………………………………………
Address ………………………………………………………………………………………………………..
…………………………………………………………………………Postcode………………………….
Telephone:-…………………………………………………………………………….
Email:-…………………………………………………………………………………………………………..
Signature of Applicant……………………………………………………………………………………..
Date of Application………………………………….
Lathom and Burscough Old Peoples Club 