Membership Application

Please complete this form, and as relevant the Standing Order Mandate form (see attachment A to this application form) or payment, and give/send to the appropriate Membership Secretary (Playing or Non-Playing) – for Playing, Richie Graham (e-mail at , ‘phone on 07711 302758) and for Non-Playing Peter Hannan(e-mail at , ‘phone on07958 449208)

Applicant Information
Surname: / Forename(s):
Address:
Town: / County: / Postal Code:
Occupation: / Date of Birth:
Home Phone No: / Business Phone No:
Mobile No: / E-Mail Address:
APPLICATION FOR A NEW MEMBER: (tick box -√ - for membership category applying for)
(1) (1) Full Playing Member
(2) Student Playing Member
(3) Ladies Playing Member
(4) Full Non-Playing Member (Voting)
(5) Social (Associate - Non-Voting) Member
(6) Family Playing Member (see note at [1] below)
(7) Spouses/Partners (non-voting) of Members in categories 1 to 5 above
I wish to become a Member of Farnborough RUFC Ltd and agree to abide by the Club’s Memorandum & Articles of Association, and Constitution, and other standing Rules in place (copies are available on the Club’s website). I understand that the information contained on this form will be held electronically and used solely for the purposes of the Management of Farnborough RUFC Ltd and the Club’s entries on the RFU’s Game Management System (GMS) and the Hampshire RFU’s website.
Signature of Applicant: Date:
To Be Seconded by a Club Member:
Name: / Signature:
EXISTING MEMBER PAYING ANNUAL SUBSCRIPTION
Name: / Signature: Date:
EXISTING MEMBER ADVISING CHANGES OF CONTACT DETAILS
Name: / Signature: Date:

SUBSCRIPTION (due by 1st September each year) for 2017/2018:

(1) Full Playing Member - £120, (2) Student Playing Member - £50, (3) Ladies Playing Member - £40, (4), Full Non-Playing Member (Voting) - £50 (but £35 if paid or an active Standing Order in place latest by 1st September), (5) Social (Associate - Non-Voting) Member- £40 (but £25 if paid or an active Standing Order in place latest by 1st September), (6) Family Playing Member - £120, (7) Spouses/Partners (non-voting) of Members in categories 1 to 6 above- £5.

I wish to pay my annual membership fee as follows(tick box - √ - that applies):

By standing order:Standing Order Mandate (see attachment A) completed, attached to this

completedapplication form, and all given to, or in envelope behind the Club bar

addressed to, the Relevant Membership Secretary.

Bycheque:Application form completed, and cheque made payable to Farnborough

RUFC Ltd,and all given to, or in envelope behind the Club bar addressed to, the

Relevant Membership Secretary.

By cash:Application form completed and with the cash given to, or in envelope behind the Club bar addressed to, the Relevant Membership Secretary.

By credit or debit card Application form completed, and given/sent to the Relevant Membership

or direct bank transfer: Secretary and transaction totake place at the same time.

Office Use Only (by Relevant Membership Secretary)

Entry Made on Payments Spreadsheet:

Payment Passed to Treasurer:

Membership Records Updated:

Standing Order sent to Bank:

Membership Card No [Insert] Issued:

Attachment A – Standing Order Mandate Form

FRUFC Ltd Membership Category and Total Annual Payment /
[Insert Membership Category] - [Insert Total payment re annual membership]
To:
(name of your bank)
Bank Address:
(address of your bank)
Instructions:
/
Please pay the sum of £ [Insert sum for your membership category] per annum from my Account detailed below, payable by instalments as follows:
£ xx on 1stSeptember (or immediately if received after this date) and then £xx on the first of each month following. [Note: monthly amount to be agreed with the relevant Membership Secretary.]
and continuing as above until further notice received from the undersigned
To:
Bank: NatWest
For the credit of: Farnborough Rugby Union Football Club Limited Current Account
Sort Code: 60-08-13
Account Number: 58044949
Transaction Reference: “[Name] - FRUFC Ltd Annual Subscription”
Name of Account to be debited:
Sort Code:
Account Number:
Account Holder Signature:
Name: (In Block Capitals and stating Mr/Mrs/Miss or other title)
Address:
Post Code:
Date:

This form will be sent to your bank by the Club. Please complete and return to the Relevant Membership Secretary together with your completed application form.

Page 1 of 3

[1](Note re category 6: this relates to where one or both parents, and children, play. A Family annual membership shall encompass a husband and wife, or two partners, and a maximum of two children under eighteen years of age on 1st September. One of the adults shall have the rights of a Full Playing or Non-Playing Member, and the other adult nominated in a family membership shall each have the rights of a Social (Associate – Non-Voting) Member.)