BOGNOR REGIS TOWN FOOTBALL SUPPORTERS CLUB

MEMBERSHIP FORM

NAME .....................................................................................................................


ADDRESS.................................................................................................................

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EMAIL ADDRESS....................................................................................................

Minimum donation:

ADULTS £5.00

CHILDREN £2.00 (Please advise of date of birth if under 16 .. .. .)

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Please send this form and your remittance to:
BRTFC Supporters Club
2 Stroud Green Drive
Bognor Regis
West Sussex