Birtley AC Membership Application

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Club Membership renewal (current members only)

Club Membership renewal (current members only)

SKU:

£35.00

£0.00 - £85.00

£30.00

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Yearly subscription for Birtley AC - runs April - April. Payment is by credit or debit card.

If you wish to pay by cash or cheque instead of by card, please choose that option on the form and continue to checkout. You will not be asked for any card details but we need you to complete checkout to obtain your membership details. Thank you.

NB At checkout you will be asked for your email, address and phone number. They will also ask for your zipcode - please complete using your postcode (which you've already given as part of your address! Sorry, it's out of our control!)

Surname *

First name *

Date of Birth

Any changes to your subscription since last year? e.g. if this is a family membership, are all the members reapplying? Has anyone changed their mind about EA registration? Please provide details of any changes here.

If there are changes regarding any medical condition or disability that the club should be aware of, please give details (or state none) *

The club may need to contact you by email, text etc. with important club info and notifications. Please indicate your preferred method of contact Select all that apply Email Text FB Messenger No contact unless urgent

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Club Membership renewal (current members only)

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