2011-12chimembershipform

					      Chichester Portsmouth F.C
 Supporters Club Membership Form
            2011 - 2012 Season

 Name.........................................

 Address......................................

....................................................

....................................................

Email...........................................

Mobile No....................................

Home Phone................................
your preference of communication
        (please tick one)
email.... Mob text.... Home no. .....

    Current Season Ticket Holder
          Yes..... No.....
Adults £6. Under 16's & Over 60 £3
     www.chipompeyfans.co.uk

				
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