BURRIDGE CRICKET CLUB
MEMBERSHIP APPLICATION / RENEWAL
2015
FULL NAME
(Block Capitals)
Address
Post Code:
Telephone
Mobile:
Email address
Date of Birth
New Playing member: Previous Club:
Relevant Medical conditions:
Membership category required:
Type of Membership
Adult Playing -male
Annual Subscription
£100
Student – male &
female
Ladies
£55
Non Playing member
£10
Reduced sub if paid before 1st March
£90
Tick
£50
£40
Match Fees applicable in addition to annual subscription for adult matches:
Mens -1st & 2nds
Mens - 3rd & 4ths
Students / Colts
Ladies
Temp membership –
in addition to match
fee for up to 5
matches
£12
£8
£7
£6
£10
I apply for membership indicated above. I have read and agree to abide by the
Codes of Conduct as detailed on the club website in the Colts tab/ Codes of
Conduct & Policies:
Signature:
Date:
Methods of Payment for membership:
Cash – hand with completed form to the Treasurer or Membership Secretary. Cheque – payable to Burridge Cricket
Club. Send with completed form to Membership Secretary: Mrs L Houlton, 16 St Swithun Close, Bishops Waltham,
SOUTHAMPTON, SO32 1JY. Electronic – to Burridge Cricket Club at Lloyds Bank, Swanwick, Sort Code: 30-93-17,
A/c No: 00118525 . Please ensure your name appears in the payment reference and email a copy of this
completed form to: lindahoulton@talktalk.net and r.ankers@gmail.com so that your payment can be
acknowledged. NB: Personal details will not be disclosed to non-applicable third parties by Burridge Cricket Club
(BCC). BCC database is held by the appointed club Secretary, Membership Secretary and Treasurer only.