BLANDFORD RUGBY FOOTBALL CLUB Club House East Street Blandford Forum Dorset DT11 7DX Chairman Mr J Frampton President Mr B Burrows Secretary Mrs L Haim Season 2009 - 2010 BRFC Membership Application Welcome to Blandford Rugby Football Club. BRFC was founded over 25 years ago, to provide playing and socialising facilities to residents of Blandford and surrounding areas. The club operates as a self financing organisation and has large overheads in the form of pitch/changing facility and Club House rates. Day to day running costs are met largely by sponsorship and profits from the Club Bar, however club membership provides an important revenue stream, making a complimentary income that is required for the club to continue to survive and grow. All BRFC members are able to enjoy the benefit of a good social atmosphere in the enviable and conveniently positioned and recently refurbished, Town centre located Club House. BRFC players of all ability levels are able to take part in regular 1st & 2nd team senior or Mini’s/Youth fixtures. Vice Presidents of BRFC are eligible to apply for the clubs allocation of International Match Tickets and are invited to prematch meals before “Key Home Fixtures”. In an effort to provide more choice and flexibility, BRFC are this year operating a 'Standing Order' method of payment to its Playing and VP members. The Playing members and Playing-Family members options are for £10 per month for 12 months and includes both membership and match fees for the year/season. The VP's option is for a discretionary amount (minimum £5 per month) for 12 months. We are pleased to confirm that membership costs have been held for the forthcoming year. Membership runs for one year from 1st September and renewals are required to be paid by 1st October. Thank you for wanting to be part of Blandford Rugby Football Club. In order to enjoy its benefits please complete the membership form on the reverse of this form, then post it or hand in, along with associated payment or completed Standing order form at the Club House. Alternatively pass your completed application and payment on to any Committee member (payment associated with unsuccessful applications will be refunded). Donations additional to the subscriptions are welcome. Yours sincerely Mo Mitchell Membership Secretary Please print this form, complete and return to Mrs L Haim email@example.com BLANDFORD RFC MEMBERSHIP APPLICATION 2009/2010 Renewal New Member Proposed by: (All new Members MUST be proposed by an existing Club Member) Surname: Additional Members: Christian Name(s): (For Family Membership please include all family names) Address: Telephone: Home e-mail address: Membership Applied For (please tick): Vice President: Non Player/Family (£50) (£30) Player: (£35) Single Social: (£20) Player/Family (£40) Mobile: Work: Family being 2 adults and all children under the age of 18 at the same address (Player, Playing Family, Non Player/family or VP's wishing to pay by Standing Order please complete for below and write S/O in against "Sum Enclosed") Sum Enclosed: £ Signed Date: Application Approval (All applications to be approved by Club Secretary Approved: Yes/No Signed Date: (Membership Secretary) Please note ALL applications for club membership MUST be approved by the Club Secretary. BRFC retain the right to reject any application for Club Membership. To: Postal Address Bank Please pay HSBC Bank Beneficiary’s Name for the credit of BLANDFORD RFC Amount the sum of Date of first payment commencing and thereaf ter every Due date and frequency until further notice in writing or Date of last payment and debit my/our account accordingly Amount in words Branch Title (not address) BLANDFORD Account Number Sort Code Number 40:12:18 Quoting Reference Bank STANDING ORDER MANDATE PLEASE CANCEL ALL PREVIOUS STANDING ORDER/DIRECT DEBIT MANDATES IN FAVOUR OF UNDER REFERENCE NUMBER Account to be debited Account Number Special Instructions Signature(s): Date: Banks may decide to accept Instructions to change Standing orders to certain types of account other than Current Accounts NOTE: The Bank will not undertake to a) make any reference to Value Added Tax or pay a stated sum plus V.A.T., or indeterminate element. b) advise remitter’s address to beneficiary c) advise beneficiary of inability to pay d) request beneficiary’s banker to advise beneficiary of receipt e) accept instructions to pay as soon after the specified date as there are funds to meet payment, if funds are not available on specified date. Payments may take 3 working days or more to reach the beneficiary’s account. Your branch can give further details. Please arrange to forward details of the direct debit to your Bank.