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ANNUAL MEMBERSHIP SUBSCRIPTION

SEASON 2005/06

 

 

 

Name

 

Address

 

 

Email

 

 

 

 

Tel No

 

Signed

 

 

FEE PAID : (please indicate) Adult : 15.00/20.00 CONCESSION : 7.50/10.00

JUNIOR STUTES (UNDER 16) 2 separate application form

DISCOUNT ONLY APPLIES IF MEMBERSHIP PAID BEFORE 3 SEPTEMBER 2005

Please send completed application forms, together with passport sized photograph and remittance to :

Jenny Wells 19 Davey Crescent, Gt Shelford, Cambs CB2 5JF

Cheques to made payable to HISTON FOOTBALL CLUB