MEMBERSHIP APPLICATION FORM

Full Name:

Address line 1

Address line 2

Town:

County:

Post Code:

Country:

Telephone Number:

Mobile Number:

Email:

Date of Birth:

Section 2: Type of Membership Required

Share subscription (one off payment of £1) Compulsory if aged 16 or over.

Note: Members under the age of sixteen cannot be shareholders in SHIRETRUST.

Annual Fee:    £10 for full membership

                         £5 concession for juniors, and Senior Citizens 

Section 3 Shares: Number of East Stirlingshire FC shares held: ……

Section 4 Payment Details:

Please return this form together with a cheque or postal order payable to SHIRETRUST to:

shiretrust
PO Box 21654
Falkirk
Stirlingshire
FK2 7XN

Section 5 Agreement :

I agree to be bound by the rules of East Stirlingshire Supporters Society Ltd.

A copy of the rules is available from any office bearer upon payment of £2.00  

  Signed……………………………….                    Date……………………..

Visit us at:  www.shiretrust.netfirms.com