Edgworth CRC Membership 2020-2021
Our membership year runs 1st April 2020 - 1st April 2021
Barlow Memorial Ground, Bolton Road, Edgworth BL7 0AP
01204 853 374
www.edgworthcc.co.uk

**If paying by annual Direct Debit (below) click the link- you don't need to fill this form in**
Name *
Your answer
Name of Partner
Where applicable
Your answer
Address inc. Postcode *
Your answer
Contact Email Address
Your answer
Contact Phone Number
Your answer
Membership Category
Senior is classed as anyone 65 years old or older.
Please tick your membership category
Social (£32)
Social & Partner (£48)
Senior (£16)
Senior & Partner (£24)
Taverner (£67)
Taverner & Partner (£83)
Payment
There are two options available- a one off BACS payment or by annual Direct Debit so you never have to fill a form in again!

1. BACS Payment
Please send the total amount of your membership to:
Edgworth Cricket Club
16-00-06
1097 6549
For the reference, please put your surname

2. Direct Debit
Please copy & paste the appropriate link below to set up an annual Direct Debit:
Social
https://pay.gocardless.com/AL0002ZV9N3MVZ

Social & Partner
https://pay.gocardless.com/AL0002ZVA2F1AF

Senior
https://pay.gocardless.com/AL0002ZV9S62AV

Senior & Partner
https://pay.gocardless.com/AL0002ZVA3B1RX

Taverner
https://pay.gocardless.com/AL00030H9J077G

Taverner & Partner
https://pay.gocardless.com/AL00030H9M6G6S

*Please make sure you complete this form if paying by BACS*
How do you plan to pay? *
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