Name (Required)* Email (Required)* Type of membership (Required)*Mens Senior (Aged 16 and over) - £80Mens Senior Non-Standard (Full-Time Education) - £40Womens Senior (Aged 16 and over) - £40Womens Senior Non-Standard (Full-Time Education) - £20Family (2 Children +2 Adult Social Memberships) - £40Social - £10 Mobile Phone Number Address Postcode Emergency Contact Emergency Contact Number 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) - £80Mens Senior Non-Standard (Full-Time Education) - £40Womens Senior (Aged 16 and over) - £40Womens Senior Non-Standard (Full-Time Education) - £20Family (2 Children +2 Adult Social Memberships) - £40Social - £10 ---Mens Senior (Aged 16 and over) - £80Mens Senior Non-Standard (Full-Time Education) - £40Womens Senior (Aged 16 and over) - £40Womens Senior Non-Standard (Full-Time Education) - £20Family (2 Children +2 Adult Social Memberships) - £40Social - £10 ---Mens Senior (Aged 16 and over) - £80Mens Senior Non-Standard (Full-Time Education) - £40Womens Senior (Aged 16 and over) - £40Womens Senior Non-Standard (Full-Time Education) - £20Family (2 Children +2 Adult Social Memberships) - £40Social - £10 ---Mens Senior (Aged 16 and over) - £80Mens Senior Non-Standard (Full-Time Education) - £40Womens Senior (Aged 16 and over) - £40Womens Senior Non-Standard (Full-Time Education) - £20Family (2 Children +2 Adult Social Memberships) - £40Social - £10 ---Mens Senior (Aged 16 and over) - £80Mens Senior Non-Standard (Full-Time Education) - £40Womens Senior (Aged 16 and over) - £40Womens Senior Non-Standard (Full-Time Education) - £20Family (2 Children +2 Adult Social Memberships) - £40Social - £10 I confirm I accept and understand the Terms & Conditions of membership of Mistley Cricket Club
