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Join the Supporters' Trust - Application for Membership

Chesham United Supporters Society Ltd - Trading As The Chesham United Supporters’ Trust.

Please Print Print This Form & Reply To Martin Woolnough C/O Chesham United FC, The Meadow, Amy Lane, Chesham, HP5 1NE. I wish to apply for membership of the above Trust and enclose £10 subscription for the year to 31st May 2011.  Please make cheques payable to Chesham United Supporters’ Trust.

Surname:

First Name:

Contact Details

Address:

 

Postcode:

Contact Tel. No:

e-Mail:

It would also help if you could give us a few personal details:

Date of birth:

Occupation:

Useful skills:

Other hobbies / interests:


Signed:

Date: