HAMPSHIRE SENIORS

MEMBERSHIP APPLICATION

2008

 

I/We hereby apply for membership of

Hampshire Seniors CC 

 

Mr/Mrs/Miss       ………………………………………………….. 

Surname              …………………………………………………..

Christian Name(s)  …………………………...................................

  Address      …………………………………….................................

                    ………………………………………………………….

                     ………………………………………………………….

                    Post Code ……………………………. 

                   Tel No.       ……………………………. 

                   E Mail        ………………………………………. 

                   Date of Birth..……/………/………… (Players only) 

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Print this form, fill it out and please forward your cheque for £20 (Twenty pounds) for sole membership or £30 (Thirty pounds) for joint membership to: 

Mike Swain, Secretary Hampshire Seniors CC

Jemiswa, 75C Southampton Road,

Park Gate, Southampton SO31 6AH