MEMBERSHIP FORM

Pelsall Cricket & Sports Club

	Membership No:
On completion of the form, please hand it to the bar person of the club along with your payment. Your membership will be processed within 2/3 working days. You will be notified by email when your membership card is ready for collection.
Full Name:
Address:
Date of Birth:
Contact Number:
Email address:

I confirm that I wish to renew / become* a member of Pelsall Cricket & Sports Club and understand the tariff applicable to this membership. (*delete as applicable)

£20.00 payable – £5.00 for membership, £5.00 for membership discount card, £10.00 credit loaded you’re your card which will last for the duration of 12months from membership date for you to use, after which this will no longer be available. Annual membership thereafter will be £20.00 - £5.00 membership and £15.00 credited to your card.

I understand and confirm that to receive discounted prices along with ticket concessions, that I need to produce my membership card for every transaction; failure to produce your card will mean that full price will need to be paid. Also, please note that lost cards will incur a charge of £5.00 to replace, and it is your responsibility to notify the loss of a card as soon possible to ensure that any credit you have is not lost.

Signature : ………………………………………………………. Date : ………………………………………………