Cantabs 50:50 Application Form

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Please use this form to join the Cantabs 50:50 club

Name *

E-mail address *

How many entries do you wish to make in the draw each month (£5 per month per entry) *

1 (£5 per month)

2 (£10 per month)

3 (£15 per month)

4 (£20 per month)

5 (£25 per month)

Other:

Please confirm that you have set up a monthly standing order to pay the amount specified above on the 25th of each month *

Sort code: 201719; Account number: 00217972; Account name: Cantabrigian Rowing Club; Reference: 5050 <your name>

Yes

No - I have a problem/question (please specify below)

If you have any other comments, suggestions or questions, please let us know here

Submit

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