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HAVANT RUGBY FOOTBALL CLUB

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									HAVANT RUGBY FOOTBALL CLUB
MEMBERSHIP/SEASON TICKET APPLICATION FORM 2008 - 2009
NAME ADDRESS HOME WORK POST CODE E-Mail Address
If you are a new member please indicate names of two existing members who are sponsoring your application. Application for new membership will be subject to the approval of the Management Committee.

TELEPHONE

OCCUPATION

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2

TYPES OF MEMBERSHIP BASIC CLUB MEMBERSHIP (BCM)
Entitled to use of Members Bar on Match Days. Full voting rights. International Ticket Application. Discount on goods and services with HRFC Club Partners. Use of Function Room at discounted rates. Donations welcome. Please tick if parent of Mini-Junior and deduct £10 per child (max. £20)

Minimum Subscription

Tick as Required
Mini-Junior

Total

£60

□ □

£

PATRON
Basic Club Membership and Season Ticket. Appear on list of Patrons in Website, Club Handbook and Programmes. Free Invitation to ‘Patrons Lunch’ and invitation to Presidents Lunch.

£250 or £150 if you are a Vice President £130 £75 £100 £600

£

PLAYER MEMBERSHIP (BCM + £40 + £30 MATCH FEES)
Insurance cover + BCM & Season Ticket for spouse or partner + all match fees included.

£ £ £ £

COLTS/STUDENT/WOMEN (BCM + £15) SQUASH (BCM + £40) NON PLAYING LIFE MEMBERSHIP (Paying) (BCM X 10)

SEASON TICKETS (Covers all First Team Home Games for Ground and Stand) MEMBERS ONLY CONCESSION for over 60s, in full time Education, or Disabled NON MEMBERS CONCESSION for over 60s, in full time Education, or Disabled DONATION £60 £50 £75 £65

£ £ £
AMOUNT PAID £

I, the above named applicant, understand the information from this form will be held on a central database at Havant Rugby Fo otball Club. I further understand that this information will be subject to the provision of the Data Protection Act 1984 (Standard purpose PO 18), Registration No. X313283X.

Signature of Applicant

Date

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Please send the completed form together with a cheque for the appropriate amount made payable to "Havant RFC" to the Membership Secretary, 11 Silver Birch Avenue, Fareham, Hants. PO14 1SZ or to Havant RFC, Hooks Lane Ground, Fraser Road, Bedhampton, Havant PO9 3EJ. Alternat ively they may be handed over the club bar. Please complete this form regardless of previous membership.

HRFC USE Membership No.

Approved Season Ticket No.

Date Counterslip No.

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