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HAVANT RUGBY FOOTBALL CLUB

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					                                      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.

				
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