Name (Required)* Email (Required)* Type of membership (Required)*Mens Senior (Aged 16 and over) - £140Mens Senior Non-Standard (Full-Time Education) - £70Womens Senior (Aged 16 and over) - £50Womens Senior Non-Standard (Full-Time Education) - £25Social - £25 Mobile Phone Number (Required)* Address (Required)* Postcode (Required)* Emergency Contact (Required)* Emergency Contact Number (Required)* Additional Members: If you would like to register more than one membership using the same contact information (e.g. family members), you can do so here. Ensure you tell us their name and membership type and pay all fees on submission of this form. Additional Members Membership type---Mens Senior (Aged 16 and over) - £140Mens Senior Non-Standard (Full-Time Education) - £70Womens Senior (Aged 16 and over) - £50Womens Senior Non-Standard (Full-Time Education) - £25Social - £25 ---Mens Senior (Aged 16 and over) - £140Mens Senior Non-Standard (Full-Time Education) - £70Womens Senior (Aged 16 and over) - £50Womens Senior Non-Standard (Full-Time Education) - £25Social - £25 ---Mens Senior (Aged 16 and over) - £140Mens Senior Non-Standard (Full-Time Education) - £70Womens Senior (Aged 16 and over) - £50Womens Senior Non-Standard (Full-Time Education) - £25Social - £25 ---Mens Senior (Aged 16 and over) - £140Mens Senior Non-Standard (Full-Time Education) - £70Womens Senior (Aged 16 and over) - £50Womens Senior Non-Standard (Full-Time Education) - £25Social - £25 ---Mens Senior (Aged 16 and over) - £140Mens Senior Non-Standard (Full-Time Education) - £70Womens Senior (Aged 16 and over) - £50Womens Senior Non-Standard (Full-Time Education) - £25Social - £25 I confirm I accept and understand the Terms & Conditions of membership of Mistley Cricket Club