Print out this form, complete and send to Jacqui Forster

Alty in Exile

Membership application form 2002/3

                                                                                    

2 Union Way, Witney, Oxon. OX28 6HD

tel: 01993-775153 (after 6.30) or day 01235-520202 X 414 (work)

jacqui.vale@unisonfree.net

 

Membership application form 2002/3

 

 

Forename(s) ……………………………………………………………………………………

Surname…………………………………………………………………………………………

Address…………………………………………………………………………………………..

…………………………………………………………………………………………………….

Postcode…………………………………………………………………………………………

Email……………………………………………………………………………………….……..

Telephone numbers – home…………………………………………………..

Work……………………………………………………………………………..

Mobile……………………………………..………………………………………

Date of birth

All the above information is optional (although we do need some means of contacting you!)

In order to keep costs down and therefore donate the maximum amount to club funds email is our preferred method of communication.

PAYMENT DETAILS

 

SAFE Membership £3 for season

Exiles membership £1 per month or £12 for season

 

Mobile telephone text messaging service 10p per text x 65 matches

Donation

(Note – you must join SAFE to be a member of Alty in Exile) Cheques must be made payable to Alty in Exile or SAFE

Please print out and return completed form(s) together with your cheque to: Alty in Exile, C/o Jacqui Forster, 2 Union Way, Witney, Oxon. OX28 6HD tel 01993-775153 or daytime 01235-520202 X 414

mobile: 07801-057042 fax: 01235-547609 (mark "private and confidential – work!)

SAFE has been formed by Alty fans for Alty fans. The more of us there are who can give some time to help out, the better. Check us out on the internet at http://www.altyfc.u-net.com and www.altrinchamfc.com see the special pages for SAFE and Alty in Exile.

If you think you may be able to help in any way (or know someone who might) please give details below or contact Jacqui as above. Articles for the Alty In Exile newsletter are especially welcome.

SAFE can be contacted C/o Altrincham Football Club, Moss Lane, Altrincham, Cheshire. WA15 8AP tel 0161-928-1045

Let’s all work together to make the new season one to really remember for The Robins!