Wimbledon CSC News

17/08/2008 - Membership form

Please fill in and return to : Lynne Humphreys, C/O Wimbledon Celtic Supporters club, Jack Beards , 76 Mitcham Road, Tooting Broadway, London, SW17 9NG.

Enclose your cheque made payable the "wimbledon celtic sc"and your membership card will be sent out to you.

Wimbledon Celtic Supporters Club

Membership Application Form

 

 

Name:         …………………………………	Season:                          2009/10
Address:   …………………………………	Membership No. :
…………………………………
…………………………………
…………………………………	Post Code:    ……………………………

 

Membership:

 

Individual - £20   ……….

Family      - £30   ……….

(Partner & children under 18)

OAP         - £7.50   ……….

 

Telephone Numbers:

 

Home:       …………………………………

Work:        …………………………………

Mobile:      …………………………………

Email address: …………………………………………………………………………….

 

Date of Birth: …………………………..	Nationality: ………………………
Occupation:   ……………………………
Other Celtic Supporters Clubs:	(Past and Present)
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