Join the Supporters' Trust - Application for Junior Membership

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

Please 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 for the year to 31st May 2010. Please attach a recent passport photo please. 

Surname:

First Name:

Address:

Postcode:

E-Mail:

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

Date of birth:

School:

Team Played for:

Useful skills:

Parent / Guardian Name:

Parent / Guardian Signtature:

Contact Number:                                                     Date:

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