Devizes Cricket Club
Membership Form 2008
NAME: …………………………………………………………………………………………………..
D.O.B.: ……………………………………………………………………………………………………
NATIONALITY: ……………………………………………………………………………………..
ADDRESS: ………………………………………………………………………………………………
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POSTCODE: ……………………………………………………………………………………………
TELEPHONE: ………………………………………………………… ………………………………..
MOBILE: …………………………………………………………………………………………………
EMAIL: …………………………………………………………………………………………………..
Membership category (please tick):
Senior: £40……………………………………………………………………………………………
Concessions: ( students, unemployed, social, coaches ): £25…………………………
Please return your completed form to either Sally Kimber, 4 Avon Road, Devizes, Wiltshire SN10 1PR or Jackie Hodder, 5 Meadow Drive, Devizes, Wiltshire SN10 3BJ