Mold and District Reds
Cochion Yr Wyddgrug a'r Fro
www.moldreds.co.uk
Formed July 2007
Membership Application Form Season 2009/2010
Name
Address
Contact Details ( for Mold and District Reds use ONLY ) Tel No
.
Mobile
.
Email
Age (if under 16) .............................. Are you a season ticket holder?
..Yes / No
Do you travel to away games? ............Yes / No I wish to apply for (tick as applicable) Adult (£6) Concessions -Juniors & OAPs (£3) Family (£12) (family membership is 2 adults and up to 3 children ) Payment can be made via cash or cheque to a committee member or by cheque posted to Rob Hughes, c/o Mold Delivery Office, 18 Earl Road, Mold CH7 1AA Please make cheques payable to Mold & District Reds If accepted I agree to be bound by the Association's Rules and Constitution SIGNED
..DATE
