Name………………………….……….. Address…………………………………………………………………………………. ………………………………………………………………………………………….. Home Tel……………………………………… Mobile tel……………………………………… Email address………………………………………………………………………… I hereby agree to abide by the Club Rules and Regulations at all times, a copy of which have been supplied to me and to remit my Subscription when requested to so throughout the currency of my Membership. I enclose payment for my membership subscription. Signature ……………………………………. Subscription type (please tick) Life member (£750 or SO 10 x £75) …………. Playing member over 21 (£150 or SO 12 x £12.50) ………… Playing member under 21/ student/ unemployed (£50) …… Playing member (Exile) £20 .............. (name of home club ...................................................) VP (£60 or SO 4 x £15.00) ………. Coach/Ref (Level F £50 ....) (Level 1 £25 ....) (Level 2+ £Free ....) (Referee £ Free....) OAP 65 and over (£30) ……. Social member (£30) ….. Lady Associate (£10) …… Family Membership (£100) ....... (Please include names of all applicants and DOB of juveniles. Use a separate sheet if necessary) INTERNATIONAL TICKETS 2016-17
Name………………………….……….. Address…………………………………………………………………………………. ………………………………………………………………………………………….. Home Tel……………………………………… Mobile tel……………………………………… Email address………………………………………………………………………… I hereby agree to abide by the Club Rules and Regulations at all times, a copy of which have been supplied to me and to remit my Subscription when requested to so throughout the currency of my Membership. I enclose payment for my membership subscription. Signature ……………………………………. Subscription type (please tick) Life member (£750 or SO 10 x £75) …………. Playing member over 21 (£150 or SO 12 x £12.50) ………… Playing member under 21/ student/ unemployed (£50) …… Playing member (Exile) £20 .............. (name of home club ...................................................) VP (£60 or SO 4 x £15.00) ………. Coach/Ref (Level F £50 ....) (Level 1 £25 ....) (Level 2+ £Free ....) (Referee £ Free....) OAP 65 and over (£30) ……. Social member (£30) ….. Lady Associate (£10) …… Family Membership (£100) ....... (Please include names of all applicants and DOB of juveniles. Use a separate sheet if necessary) INTERNATIONAL TICKETS 2016-17