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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

By submitting this form you are declaring that you have read, understand and accept the rules of the Leverstock Green Cricket Club 100 Club

Note: Forms may also be submitted by email to lgcc100club@gmail.com or by handing to volunteer bar staff at the Clubhouse.