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