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       Full Name:  | 
    
       
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       Address:  | 
    
       
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       Post Code:  | 
    
       
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       Date of birth (if applying for Junior Membership)  | 
    
       / /  | 
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       Home Tel:  | 
    
       
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       Mob Tel:  | 
    
       
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       Email address:  | 
    
       
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       2002-03 Membership No (if applicable):  | 
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       How would you like us to contact you to tell you about events/Meetings etc.?  | 
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       Telephone  | 
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      Post | 
    
      Programme announcement | 
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       Would any of the following interest you (to help us plan events/merchandise etc)? (This optional section is to help us find out what members are interested in)  | 
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       Quiz Nights  | 
    
       WFCSA
      Fleeces/Rainjackets  | 
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       Race
      Nights  | 
    
       WFCSA
      Golf Umbrellas  | 
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       Discos  | 
    
       100 Club (e.g. £10 per month for a monthly cash payout)  | 
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       Organised
      away travel  | 
    
       Rocket
      balloons/inflatables/hooters  | 
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       WFCSA
      T-shirts  | 
    
       Other
      (use back if needed)  | 
    
          | 
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You
can return the completed form, with the appropriate remittance, in the following
ways:
By
hand (by cheque or cash)  WFCSA
Matchday Office, Worthing FC first-team