MEMBERSHIP APPLICATION FORM 1st Member 2nd Member Name Address Telephone Mobile No Email (Caps please) Type of membership Fee Tick Option Life Membership Concessionary £50 Adult £150 Full membership (age 16-60) £10 Concessionary £5 (Unemployed/full time student/senior citizen - over 60) FREE TO JOIN Junior Membership – Junior Name Junior member Email address Membership Date of Birth Junior Junior Junior Junior Payment (either cash or cheque made payable to Forever Bury) £ Are you happy to receive renewal reminders/communications electronically? (we require a valid e-mail address) Would you be happy to collect your membership card from the cabin? (We will have it ready to collect approx….2 weeks after payment receipt/start of season) Would you be interested in getting involved in Forever bury Events? Would you be interested in making further donations to Forever Bury? Signed: Date: Please return completed form & payment to: Membership Secretary, Forever Bury, 3 St Mary’s Place, Bury, BL9 0DZ (cheques only please) or Drop it off at the Forever Bury cabin on match days (13:30-14:50 daytime fixtures or evening fixtures)
MEMBERSHIP APPLICATION FORM 1st Member 2nd Member Name Address Telephone Mobile No Email (Caps please) Type of membership Fee Tick Option Life Membership Concessionary Adult £50 £150 Full membership (age 16-60) £10 Concessionary (Unemployed/full time student/senior citizen - over 60) £5 Junior Membership – FREE TO JOIN Junior Membership Name Junior member Date of Birth Email address Junior Junior Junior Junior Payment (either cash or cheque made payable to Forever Bury) £ Are you happy to receive renewal reminders/communications electronically? (we require a valid e-mail address) Would you be happy to collect your membership card from the cabin? (We will have it ready to collect approx….2 weeks after payment receipt/start of season) Would you be interested in getting involved in Forever bury Events? Would you be interested in making further donations to Forever Bury? Signed: Date: Please return completed form & payment to: Membership Secretary, Forever Bury, 3 St Mary’s Place, Bury, BL9 0DZ (cheques only please) or Drop it off at the Forever Bury cabin on match days (13:30-14:50 daytime fixtures or evening fixtures)