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New Brighton Football Club (Rugby Union)
Application for Membership 2011-2012 Season
Complete in block capitals
Date : _______________________________
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NAME____________________________________
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Signed___________________________________
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Address _____________________________________________________________________________
Post Code ______________________________
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Apply to become a member of the above Club and, if elected, agree to abide by the rules of the Club
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The following information is required from the applicant
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Telephone No. (Home)_______________________
(Business)__________________________
Occupation__________________________________
Email address_____________________________________
Date of Birth (If under 19)____________________________
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Class of Membership (tick box applicable) :
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A1 Rugby Playing
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£60
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1
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A2 Rugby Over 19 (FTE
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£25*
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1
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A3 Rugby Junior U19
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£15**
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1
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C1 Full (non-playing)
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£40
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1
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C2 Associate
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£10
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1
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C3 Country (non-playing)
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£10
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1
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C4 Club Function
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£30
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1
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G1 Senior Member (over 65)
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£10
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1
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F1 Family *****
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£200***
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1
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S1 Full Playing Squash
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£100***
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1
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S2 Squash Over 19 (FTE)
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£25**
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1
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S3 Squash Junior U19
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£10***
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1
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S4 Squash – Racquet Ball
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£45
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1
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* Must be in Full time education
** Age on 1st September of current season
*** Includes £10 Squash Levy payable per season by members of Classes F1 & S1
**** Restricted to 2 parents and immediate family living at the same address
New members subscriptions EXCEPTING C4 CLUB FUNCTION are reduced for the current year as below :
If joining between 1st March and 30th April by 75%
If joining between 1st January and 28th February by 150%
If joining between 1st December and 31st December by 25%
APPLICATIONS FOR MEMBERSHIP WILL ONLY BE CONSIDERED IF ACCOMPANIED BY THE APPROPRIATE SUBSCRIPTION
Fees payable by cheque (payable to NBFC(RU), or cash to Membership Secretary,
The Club also accepts payment by Visa / Mastercard debit or credit card