Membership Forms

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Membership £20 /Vice President £100 *  Form and Standing Order

To the Manager                                     *Delete as appropriate

Bank Name

 

Bank Address

 

 

 

 

 

City

 

Postcode

 

 

I wish to make an annual subscription payment of £20/£100* to the Welsh Academicals RFC until further notice.

Account Holder

First Payment

 

Annually thereafter

1st May

Name

 

Address

 

 

 

 

 

City

 

Postcode

 

Account Number

 

Sort code

 

 

Beneficiary

Name

Welsh Academicals RFC

Account Number

10927996

Sort Code

20.56.56

WARFC Ref.

 

 

Contact Information

Email Address

 

Contact Phone No.

 

 

 

Signed                         Date 

 

Please return to Colin Workman, 18 St Johns Crescent, Whitchurch, Cardiff, CF14 7AF 

or colin.cworkman@btinternet.com

 

  

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