The Riversiders Supporters Club Membership Application Form 2024
Annual Fees for 2024 are: £10 for Adults and £5 for Juniors. Bank Account Details: Sort Code: 30-19-56 Account Number: 00475889
Name:
*
First Name(s)
Last Name
Address: (for Junior Members please ensure contact details are for Parent/Guardian)
*
Number and Street Address
Street Address Line 2
Town
County
Post Code
Landline Telephone Number
Mobile Telephone Number
Date of Birth (if under 16):
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Day
-
Month
Year
Email:
Signature:
*
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