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Application To Join Leverstock Green Cricket Club 100 Club

Name
(Applicants must be over 16 years of age)

HOUSE NUMBER / NAME
ROAD
POSTCODE
CONTACT PHONE NUMBER
EMAIL ADDRESS
DATE OF PAYMENT
HOW MANY NUMBERS REQUIRED?
Payment for membership can be by a single bank transfer payment before 16th August, of £60 per number for the whole year OR by setting up 12 monthly standing order payments starting August 2025 (before 16th) of £5 per number to:
BANK:
ACCOUNT NAME:
SORT CODE:
ACCOUNT NO:
REFERENCE:
METROBANK
LEVERSTOCK GREEN CRICKET CLUB
23-05-80
55683573
YOURNAME100

Untitled checkboxes field
Note: Forms may also be submitted by email to [email protected] or by handing to volunteer bar staff at the Clubhouse.