Stevenage Cricket Club
STEVENAGE CRICKET CLUB
2008 SEASON
MEMBERSHIP APPLICATION FORM
All members will be subject to the regulations of the constitution and by joining the Club, will be deemed to accept the regulations and the Club’s codes of conduct.
Please complete in full and tick all appropriate boxes
Renewal of membership ORApplication for membership
First name…………………………………… Surname……………………………….
Address……………………………………………………… Town………………………………. Postcode…………….
(To receive SCC info only)
Email……………………………………………………… Home Tel No……………………. Mobile No………………………….
Type of membership required
Adult (Over 16 playing member) Vice President
Adult (Over16 non playing member) Hon Vice President
Adult (Over16 playing member – subsidised) Life Member (Donation)
Family Member (Max two adults) Adult Corporate non playing
For family membership only(other adult member) First name………………….Surname……………………..
For family membership only (youth member)First name………………….. Surname…………………….
Applicants Signature……………………………….. Date……………
To comply with ECB and Club Welfare Policies the accompanying Self Declaration Form must also be completed by all Members and returned to the
Club Welfare Officer, Richard Burling, 8 HERNE Road, Stevenage, Herts, SG1 4RW Please mark the envelope SDF, Private and Confidential.
Holders of an up to date enhanced CRB certificate need only provide the Club Welfare Officer with the details.
.
Ditchmore Lane, OldTown, Stevenage, SG1 3lJ. Tel 01438 351075
PTO
STEVENAGE CRICKET CLUB
2008SEASON
SUBSCRIPTION FEES
CALCULATION (Relevant to all)
(Please put an X in the appropriate boxes of the appropriate table(s) and calculate the total).
A) Players
/ Basic Subs.By 31 May / Basic Subs.
After 31 May / All upfront
By 31 May / All upfront
After 31 May / 10 league upfront
By 31 May / 10 league upfront
After 31 May
Playing Member
(Over 16) / £50 / £60 / £225 / £250 / £150 / £180
Unwaged Playing
Member / £35 / £40 / £95 / £105 / Not applicable / Not applicable
Youth Player
(Under 16) / U16 membership is dealt with through Youth Membership Forms
(Available from Junior Coordinator – Trevor Davies)
Total (A) / £
B) Others
/ Non PlayingMember / Corporate Non Playing Member / Family Members (multiples of £5 per adult) / Vice President
(£25 minim) / Hon Vice President
(Optional) / Life Member
(Optional / 200 club (multiples of £10) / General
Donations
Subs. / £25 / £50 / £ / Not Applicable / £ / £
Donation / Not Applicable / £ / £ / £
Total (B) / £
COMBINED TOTAL (A+B) / £ / Cheque Included (YES) or (NO)
APPLICANT ………………………………….. DATE……………….
Paymentdetails
All Cheques should be made payable to Stevenage Cricket Club and sent to the Hon. Treasurer or Membership Secretary with your completed membership renewal / application form. Alternative payment schemes can be made with the Hon. Treasurers approval.
If you have any questions please contact the SCC Membership Secretary
John Northall, 24 Benbroke Place, Stevenage, SG1 6GR, 07773796490, .
or David Carr, 37 Pyms Way, Sandy, Bedfordshire, SG19 1BZ, 01767 227 754, .
Hon. Treasurer:
Kerry Flecknell, 35 Austen Paths, Stevenage, SG2 0NJ, .
Office use only
Previous membership status ……………………………. Application SCC Committee approved
Honorary Secretary or delegate signature ……………………………………………
Date………….
Decision confirmed to applicant Date…………………….
Ground: Ditchmore Lane, Stevenage, SG1 3LJ. Tel. 01438 351075 -