HAVANT RFC

FORMER PLAYERS ASSOCIATION

APPLICATION FOR MEMBERSHIP

Name (please print) ..................................................................................................

Address....................................................................................................................

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Post Code...........................................Phone No......................................................

Email.........................................................................................................................

I enclose a cheque, value £5.00 in payment of my annual subscription for membership. (Please make the cheque payable to HRFC - Former Players Association.)

Signature .............................................................

Please print off the form, complete it and return it to:

Brian Hunter, 40 Fernhurst Close, Hayling Island, Hants, PO11 0DT