Storm Support Membership

1
STORM SUPPORT MEMBERSHIP APPLICATION* This field is required.Lead Member Name
First Name
Last Name
2
EMAIL* This field is required.Lead Member Email
example@example.com
3
ADDRESS* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
4
PHONE NUMBER* This field is required.
Please enter a valid phone number.
5
YOUR MEMBERSHIP REQUEST * This field is required.
Please Select
Please Select
ADULT
KIDS (U16)
CONCESSION/STUDENT
MEMBERSHIP TYPE
Please Select
Please Select
YES
NO
RENEWAL
If Renewing, Please Enter Previous Membership Number
Date of Birth
MEMBERSHIP COST £GBP
6
ARE YOU APPLYING FOR ANYONE ELSE?* This field is required.
Please Select
Please Select
Just Myself
1 More
2 More
3 More
4 More
7
2nd Person Membership Request
FULL NAME
MEMBERSHIP COST - £GBP
Please Select
Please Select
ADULT
KIDS (U16)
CONCESSION/STUDENT
MEMBERSHIP TYPE
Please Select
Please Select
YES
NO
RENEWAL
If Renewing, Please Enter Previous Membership Number
Please Select
Please Select
Yes
No
Contact details the same as Lead Applicant?
Date of Birth
8
2nd Person Contact Details
Please enter your email
Please enter your phone
First Line of Address
Second Line of Address
Town/City
Post Code
9
3rd Person Membership Request
FULL NAME
MEMBERSHIP COST - £GBP
Please Select
Please Select
ADULT
KIDS (U16)
CONCESSION/STUDENT
MEMBERSHIP TYPE
Please Select
Please Select
YES
NO
RENEWAL
If Renewing, Please Enter Previous Membership Number
Please Select
Please Select
Yes
No
Contact details the same as Lead Applicant?
Date of Birth
10
3rd Person Contact Details
Please enter your email
Please enter your phone
First Line of Address
Second Line of Address
Town/City
Post Code
11
4th Person Membership Request
FULL NAME
MEMBERSHIP COST - £GBP
Please Select
Please Select
ADULT
KIDS (U16)
CONCESSION/STUDENT
MEMBERSHIP TYPE
Please Select
Please Select
YES
NO
RENEWAL
If Renewing, Please Enter Previous Membership Number
Please Select
Please Select
Yes
No
Contact details the same as Lead Applicant?
Date of Birth
12
4th Person Contact Details
Please enter your email
Please enter your phone
First Line of Address
Second Line of Address
Town/City
Post Code
13
5th Person Membership Request
FULL NAME
MEMBERSHIP COST - £GBP
Please Select
Please Select
ADULT
KIDS (U16)
CONCESSION/STUDENT
MEMBERSHIP TYPE
Please Select
Please Select
YES
NO
RENEWAL
If Renewing, Please Enter Previous Membership Number
Please Select
Please Select
Yes
No
Contact details the same as Lead Applicant?
Date of Birth
14
5th Person Contact Details
Please enter your email
Please enter your phone
First Line of Address
Second Line of Address
Town/City
Post Code
15
DATA PROTECTION
By checking this box, you are consenting that STORM SUPPORT can share your contact details with MANCHESTER STORM ICE HOCKEY to keep updated with the all the latest news and offers from the club. To unsubscribe to this at anytime, please send an email to stormsupport@storm-office.com.
By checking this box, you are consenting that STORM SUPPORT can share your email address with Partners of MANCHESTER STORM ICE HOCKEY CLUB so you can receive information about their products & services and special offers for Storm Support Members! STORM SUPPORT will never share your information with any person or organisation not affiliated with MANCHESTER STORM ICE HOCKEY CLUB.
16
WOULD YOU LIKE YOUR MEMBERSHIP PACKAGE POSTING?By selecting “Yes” you are confirming you would like your membership package posting for a fee of £3.00 PER membership pack.
YESNO
17
TOTALTotal Cost of your Memberships. Once you hit Submit on the next screen, we will aim to send you a Secure payment link via Zettle for this amount within 24 hours.
18
TOTALTotal cost of your Memberships + P&P Fees. Once you hit Submit on the next screen, we will aim to send you a Secure payment link via Zettle for this amount within 24 hours
19
Thank you for completing your Storm Support Membership form. We will be in touch using your email address provided in order to send you a payment link through Zettle to complete your membership request. Membership packs will be available to collect from the first game of the regular season, but if you would rather these be posted to you please get in touch at stormsupport@manchesterstorm.com to arrange this (£3 uk p+p, overseas pricing available upon request).

We hope you are looking forward to a great season full of action and are looking forward to cheering the team on again!
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