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Club Membership Form 2013-14

SEAFORD R.F.C.
MEMBERSHIP 2013/2014

Please Return to:Jof Bird, Willow Cottage, 1A Heathfield Road, Seaford, BN251TH

Name
Address
_____________________________________ Tel No.

Email address
or
Playing Member - £60 Social Member - £25

I enclose a cheque for £__________ (made payable to : Seaford RFC)

I would like to pay by Standing Order and have completed the form below.

To: The Manager _____________________________ (Bank, Building Society)
________________________________________________ (Branch)

Dear Sir,

Re: (Account Name)
Account Number)

I would be obliged if you could set up a Standing order for the sum of £5.00
payable on ____________ of each month, commencing _______________________
to the following account:

Account name: Members
Sort Code: 30-95-01
Account No: 00083304

Yours faithfully


________________________________________________________ (Signature)

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