Burnley Cricket Club ~ Lancashire League
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Membership Application

Simply print and complete the form below and pop it in the post

Membership Application Form

 

Season 2010

                               

 

Name

 

 

 

 

Address

 

 

 

E Mail Address

 

 

 

 

 

 

Telephone

Number

 

 

 

 

 

Date of Birth

(under 15s only)

 

 

 

 

Membership Type

 

 

 

 

Amount Enclosed

 

 

 

 

Date

 

 

 

 

 

Delivery

 

Please select:

 

*Collect membership card from the Cricket club

*Post to home address

 

 

Official Use Only, Membership Number:

 

 

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