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MEMBERSHIP FORM
 
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Name
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Address
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Email Address
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Phone Number
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I wish to become a member of the Cowdenbeath Independent Supporters Society.
Note 1. Minimum monthly subscription is £10 per month.

Note 2 – Any amount may be subscribed from £10 upwards (e.g., £20/£25 per month). Please do pay as much as you believe you can afford.

Note 3 – You can also add £2 per month to your subscription if you wish to participate in the additional discretionary scheme for fans as detailed in our June 2023 Newsletter.
SUBSCRIPTION - I wish to subscribe the following amount per month to the CISS and will arrange for this regular payment to be made direct from my Bank Account. *
Plus Additional £2 to fans’ Discretionary Fund
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Total Amount Subscribing
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Lump Sum Payments

If you wish to pay on lump sum basis (minimum £120 per annum) or wish to make payments by cash or other means rather than by direct payment from your own bank account, please advise us of details.

INITIAL BANK ACCOUNT DETAILS FOR PAYMENTS

Account Name – Cowdenbeath FC 100 Club
Bank – Royal Bank of Scotland
Sort Code - 83-17-17
Account Number – 00648699

Reference – CISS

So that we can manage a smooth transition to this new organisation once it has been incorporated, please tick the box below to give us permission to transfer your personal details to the supporters society.

Your personal details will not be shared with any other person or organisation. *
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