Limerick Cricket Club - Application Form - 2019
LIMERICK CRICKET CLUB MEMBERSHIP APPLICATION FORM 2019
Type of Membership Application *
Given Name *
Your answer
Surname *
Your answer
Phone Number *
Your answer
Date of Birth (DOB) *
MM
/
DD
/
YYYY
Postal Address *
Your answer
Email Address *
Your answer
Next of Kin ( Given Name Surname) *
e.g John Doe
Your answer
Next of Kin (Phone Number) *
Your answer
Shirt Size (inches)
Chest Size: Take measurement up under the arms and around chest. The cost of the Club White Playing Shirt is included in the Subscription Fees.
Captionless Image
Sports related medical conditions *
Please advise us of any relevant (to participating in a sporting activity) medical conditions
Required
Type of Membership *
Method of Payment *
Bank Details for either EFT or Standing OrderLimerick Cricket Club, Account No. 1 NSC 935476; IBAN IE74AIBK93547613935012, BIC: AIBKIE2D, Acct No: 1393 5012
Important Information ( Please read carefully)
Application for New Members will only be considered with payment of the full 2019 Membership fee, in subsequent years they may opt for Standing Order as a method of payment.
GDPR Consent? *
Required
LCC Policies & Procedures *
Required
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