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Membership form

 
 
 


Membership Application Form

Please print your details clearly any unreadable form will result in limited correspondence

Name:         …………………………………

Season:  2009/10                       

Address:   …………………………………

Membership No. : 

                         …………………………………

                         …………………………………

                         …………………………………

Post Code:    ……………………………

Membership:

Individual - £20   ……….

Family      - £30   ……….

(Partner & children under 18)

OAP         - £7.50   ……….

Telephone Numbers:

Home:       …………………………………

Work:        …………………………………

Mobile:      ………………………………… Important please print clearly

Email address: ……………………………………………………………………………………please print clearly

Date of Birth: ………………………….. 

Nationality: ………………………

Occupation:   ……………………………

Other Celtic Supporters Clubs:

(Past and Present)