New Customer Registration Form

Player Sponsorship

$250.00
Full Name*

First NameLast Name
Player Sponsoring *
Address (to mail your membership package to)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile*

Area CodeMobile
E-mail*
example@example.com
Would you like a club shirt? (+$35.00)*

YesNo
If yes, what size?
Any other comments...
Please make all payments to the club account.

Acc Name: Carlisle Cricket Club

BSB: 066153
Acc: 10865107

A receipt with be sent to your supplied email.
Note - It is limited to 1 sponsor per player so whoever nominates first will get that player
Should be Empty:

Player Sponsorship