ALTRINCHAM FOOTBALL
CLUB SUPPORTERS' ASSOCIATION
APPLICATION FOR MEMBERSHIP
Address
…………………………………………………………………………………………………………
…………………………………………………………………………………………………………
…………………………………………………………………………………………………………
Postcode ………………Tel
No(Home) …………………….
(Work)…………………….
(Mobile)…………………….
E-Mail Address ……………………………………………………………………………………
Date
of Birth ……………………
Family
member details (applies to Family membership only)
…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………
Membership
Type (Please tick appropriate box)
The
fee is by donation with a minimum amount of:
|
Adult
|
£3.00
|
|
|
Junior
(16 or under)
|
£1.00
|
|
|
OAP
|
£1.50
|
|
|
Family
2 Adults and 4 children
|
£5.00
|
|
|
Donation
|
|
|
If you live outside the Counties of Greater Manchester or Cheshire you can also join the special section called Alty in Exile. If you wish to join Alty in Exile please tick the below box.
Exiles membership, additional £1 per month or £12 for season
|
|
Donation
|
|
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 on the Altrincham FC Official Web Site at www.altrinchamfc.com and on its special pages for SAFE and Alty in Exile
Please
return completed form and a cheque to:
Membership
Secretary, SAFE, c/o Altrincham Football Club, Moss Lane, Altrincham WA15
8AP
Or,
Membership Secretary, SAFE, 58 Irwin Road, Altrincham, Cheshire, WA14 5JR
and
for Exiles please return to:
Alty
in Exile c/o Jacqui Forster, 2 Union Way, Witney, Oxon,
OX28 6HD
If
you think you may be able to help in any way (or know someone who might)
please give us details below or contact us here.