Cornwall Seniors Membership 2024

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Please complete this membership form and pay the £25 membership fee if you wish to be considered for our county championship sides in 2024:

O50s 1st XI

O50s 2nd XI

O50s 3rd XI

O60s 1st XI

O60s 2nd XI

The membership details enables captains to know who is eligible for selection and means they have your emergency contact details should an incident occur during a match.

Please complete all fields on the form.

You don't have to be a member if you just play for in the O50s friendlies team.

Membership Fees 2024: £25

How to Pay:

Bank Transfer to 20-45-45 : 43423425 - please add your name as a reference

Account Name : Cornwall County Cricket Club - Over 50's

Name *

Address *

Postcode *

Email *

Mobile Number *

Date of Birth *

YYYY

Your Club *

Emergency Contact Name *

Emergency Contact Number *

Membership Category *

Championship Membership £25

Friendlies Only Membership £0

Payment method *

Bank Transfer (details above)

Confirmation and Consent: *

I consent for the details on this form including my email address to be used by Cornwall Seniors for communication purposes

Required

Sign and date: (printed name acceptable) *

Submit

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