HAVANT RUGBY FOOTBALL CLUB MEMBERSHIP/SEASON TICKET APPLICATION FORM 2009 - 2010 NAME TELEPHONE ADDRESS HOME WORK POST CODE OCCUPATION E-Mail Address If you are a new member please indicate names of two existing members who are sponsoring your 1 application. Application for new membership will be subject to the approval of the Management Committee. 2 TYPES OF MEMBERSHIP Minimum Tick as Total Subscription Required BASIC CLUB MEMBERSHIP (BCM) Entitled to use of Members Bar on Match Days. Full voting rights. International Ticket Mini-Junior £60 □ □ £ 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) PATRON £250 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 or £150 if you are £ Lunch. a Vice President PLAYER MEMBERSHIP (BCM + £5 MATCH FEES or £120 by 1.09.09) £60 or £120 £ Insurance cover + BCM & Season Ticket for spouse or partner + all match fees included. COLTS/STUDENT (BCM + £15) non voting £75 £ WOMEN PLAYER (BCM + £3 MATCH FEES) £60 £ SQUASH (BCM + £40) £100 £ NON PLAYING LIFE MEMBERSHIP (Paying) (BCM X 10) £600 £ SEASON TICKETS (Covers all First Team Home Games for Ground and Stand) MEMBERS ONLY £45 £ CONCESSION for over 60s, in full time Education, or Disabled £35 NON MEMBERS £55 £ CONCESSION for over 60s, in full time Education, or Disabled £45 DONATION £ 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 / / 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. Alternatively they may be handed over the club bar. Please complete this form regardless of previous membership. HRFC USE Approved Date / / Membership No. Season Ticket No. Counterslip No.