Addax Rugby Football Club - Membership Application Form 2008/2009

Subscriptions are now due. Please complete and print out this form, or email membership@addaxrfc.com to have a printed version posted to you, and return to: Peter Ferguson & Emeka Ukome, British International School, Lekki, Lagos. Tel: Tel Mobile Nigeria: + (234) (0) 80 39 75 87 83
Tel Home UK: + 44 (0) 118 984 1262
Tel Mobile UK: + 44 (0) 77 66 70 48 12. Email: membership@addaxrfc.com

Membership No.     Membership Catagories (Please tick)
  Non Playing Full*:
  Playing Full*:
  Mini/Junior Parent/Guardian*. Name of Player:
  Full Time Student Player/Non Player*:
Please send copy of Student Card
  Youth Player/Non Player*: Under 21 years
  Friends of the Club*:  These are members who are keen to support the Club financially by making a donation .
* For full details see section on Full Membership benefits.
To be completed by Playing Members only:
Previous Club if New
Main Playing Position
Secondary Position
New Member?  
Title  
Forname  
Surname  
Address  
Home Tel  
Work Tel  
Email  
Occupation  
Date of Birth
if under 18		  
School  
I apply for membership of Addax Rugby Football Club., and agree to abide by the club rules.
Signature
Date
For other Club details please tick boxes below
Lottery Details Development Fund Details 		 
If you are able to help in any way, or know someone else who may be interested to receive membership information please indicate below:
Name  
Address