Membership Application – Durham Women Supporters Club

Name *

First

Last

(required fields)

Address *

(required field)

Mobile *

(required field)

Email *

(required field)

Date of Birth *

ddmmyyyy eg.14061971 (required field)

Multiple Choice *

Infant (Under 5)
Child (5-16)
Adult (16+)

(required field)

Method of Payment (after successful application) *

Cash
Cheque
Bank Transfer
Electronic (Paypal/Stripe etc)

(required field)

Favourite Current Player *

(required field)

Data Policy & Constitution *

I Agree

By signing this application for membership of the Durham Women Supporters Club you agree to the Durham WSC constitution which can be found in Terms & Condition on www.durhamwsc.com. You also agree to the Durham WSC holding your personal information, above, for the purpose of being contacted from time to time about your Club membership, Club news and activities and matters of mutual interest apertaining to the Club. We (Durham WSC) undertake not to share your information with other persons or organisations for marketing or any other purpose without obtaining your prior written consent. For Durham WSC Privacy Policy visit www.durhamwsc.com. (required field)