Haverfordwest Rugby Football Club Club Membership Application Form TITLE…………FULL NAME…………………………………………… OF ADDRESS…………………………………………………………………… .................................................................................................. POST CODE………………………..DATE OF BIRTH…../…..…/……… PHONE NUMBER …………………………………………………. WISH TO BECOME A MEMBER OF HAVERFORDWEST RUGBY FOOTBALL CLUB. I AGREE TO ABIDE BY THE RULES OF THE CLUB IN ACCORDANCE WITH THE CLUBS CONSTITUTION. SIGNED……………………..DATE……………………….. I WISH TO PAY (PLEASE TICK THE APPROPRIATE BOX) £20 SINGLE/ FAMILY MEMBERSHIP £25 VICE PRESIDENT MEMBERSHIP £250 LIFE MEMBERSHIP IF YOUR CHILD IS TO BE PLAYING JUNIOR RUGBY PLEASE INDICATE BELOW THEIR NAME(S) AND THE AGE GROUP THAT THEY WILL BE PLAYING IN? FULL NAME……………………………………………………………… DATE OF BIRTH…../…../…….. AGE GROUP UNDER 8 910111213141516YOUTH WELCOME TO OUR CLUB AND WE THANK YOU FOR YOUR SUPPORT. PLEASE BE REMINDED THAT MEMBERSHIPS ARE RENEWABLE ON THE 1ST OF MAY EACH YEAR. FOR OFFICE USE | PAID NOT PAIDRECEIPT NO……. |
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Membership Form 
