Late Renewal of membership

***Reduced rates will be applied at checkout if purchased by June 30th***

Late Renewal Form - current members only

Yearly subscription for Birtley AC runs April - April. Unfortunately, late payment (May onwards) incurs a late payment penalty - the amount is variable, depending upon the subscription type. You may pay by credit or debit card online or choose payment at the club by cash/cheque, but please proceed to checkout , regardless of your payment method, and complete the order to allow us to process your membership.

Family membership £110:- please add any additional members of your family by completing this form - please click on the link for each person you wish to add, you will return to this page once form is submitted. Finally, complete the form below with your own details.

Junior membership £40:- complete the form below with the athlete's details - you will need to give your own email, phone number and address at checkout.

Adult membership £70:- complete the form below then supply the requested details at checkout (email, phone number and address).

NB At checkout you may be asked for your postcode AND zipcode (which is also your postcode!) - apologies, there's nothing we can do about it, it's the card company who insists on asking for it.

* Indicates required field

First name *

Surname *

Date of Birth *

Gender *

Male Female

If you have any medical condition or disability that the club should be aware of, please give details (or state none)

Medical Info *

Emergency Contact Name and Tel No. *

The club may need to contact you by email, text etc. with important club info and notifications. Please indicate your preferred method(s) of contact:-

Choose all that apply *

Email Text FB Messenger

Other *

When you click on the Submit button, you will be taken to the payment page. Payment may be made by credit/debit card, or if you'd prefer to pay by cash or cheque at the club, that is a payment option too. Please complete the checkout procedure - you will NOT be asked to provide any card details, but we'll need your address and telephone number for our records. Thank you.

Submit

Late Renewal Form - current members only

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