APPLICATION FORM FOR MEMBERSHIP 2003-2004 SEASON 


Please write clearly in block capitals.  Telephone and email details are optional

 Full Name:

 

 

Address:

 

Post Code:

 

Date of birth (if applying for Junior Membership)

           /           /

Home Tel:

 

Mob Tel:

 

Email address:

 

2002-03 Membership No (if applicable):

How would you like us to contact you to tell you about events/Meetings etc.?

Email

Telephone

Post
Programme announcement

Would any of the following interest you (to help us plan events/merchandise etc)?

(This optional section is to help us find out what members are interested in)

Quiz Nights

WFCSA Fleeces/Rainjackets

Race Nights

WFCSA Golf Umbrellas

Discos

100 Club (e.g. 10 per month for a monthly cash payout)

Organised away travel

Rocket balloons/inflatables/hooters

WFCSA T-shirts

Other (use back if needed)

 

All data will be retained by WFCSA and not used for any other purposes.

 

You can return the completed form, with the appropriate remittance, in the following ways:

By hand (by cheque or cash)  WFCSA Matchday Office, Worthing FC first-team

By post (cheque only)             Membership Secretary, WFCSA, c/o Worthing Football Club, Woodside Road, Worthing, West Sussex, BN14 7HQ

Please make all cheques payable to WFCSA