Maidstone Arsenal Supporters Club

PO Box 178, Ryde, Isle of Wight, PO33 9DQ

Tel 01983611781 Mobile 07801 789069

E-mail:

Web Site:

MEMBERSHIP APPLICATION FORM 2014/2015

IF YOU ARE A BRAND NEW MEMBER YOUR APPLICATION WILL ONLY BE ACCEPTED IF YOU LIVE IN KENT (unless

otherwise agreed.)

REMEMBER: THERE WILL BE NO POSTAL OR TEXT UPDATES FOR THE FORTHCOMING SEASON THEREFORE A VALID E-MAIL ADDRESS IS ESSENTIAL!

PLEASE NOTE IT IS EXTREMELY IMPORTANT THAT ALL SECTIONS OF THIS RENEWAL FORM ARE COMPLETED IN PEN!

FAILURE TO DO SO WILL DELAY YOUR APPLICATION AND IS LIKELY TO AFFECT MATCH TICKET APPLICATIONS.

IF THERE ARE SECTIONS WHERE DETAILS HAVE NOT CHANGED FROM LAST SEASON YOU CAN WRITE THE PHRASE ‘SAME AS LAST SEASON’ INSTEAD. YOU MUST HOWEVER, COMPLETE THE EMAIL ADDRESS SECTION!!! IF ANYTHING HAS CHANGED SINCE JUNE 2013 HOWEVER, YOU MUST ADVISE US ON THIS FORM!!!!!

For Official Use Only
Membership No:
Membership Type:
No of Members:

Name:

Address:

Contact No Daytime:Type of Membership Required

Contact No Evening:Single£17.00

Contact No Mobile:Junior (U16s)£12.00

E-mail Address:Household£25.00

Date of Birth:

Household Membership Applicants Details

Please list all names and dates of birth of household membership applicants below:

Additional MembersDate of Birth

Do you hold any Gold Memberships?

NameMembership NumberPassword

Do you hold any Family Enclosure / Cannon Club / Senior Citizen Memberships?

NameMembership NumberPassword

Do you hold any Silver Memberships?

Sell this membership on to another

NameMembership NumberPasswordMASC member for the coming season?

Do you hold any Junior Gunner Memberships?

NameMembership NumberPassword

Do you hold any Red Memberships?

Sell this membership on to another

NameMembership NumberPasswordMASC member for the coming season?

Do you hold any Away Season Tickets?

Name

Are you on the Season Ticket waiting list?

NameRegistration NoPosition on List

MATCH TICKETS will go on sale for season 2014/2015 as early as the BEGINNING OF JULY. With this in mind PLEASE can you RETURN YOUR COMPLETED APPLICATION FORM with a cheque payable to “MASC” for the correct amount to the address AT THE TOP OF THE FORM NO LATER THAN Sunday 29th June 2014. Thanks very much for your support with this.

You can also e-mail us your completed form to BUT ONLY IF YOU CHOOSE TO PAY US ONLINE! You can do this by paying the correct amount to MASC, A/C No. 65234471, sortcode 08-92-99, reference YOUR NAME. If you choose this method please advise us when you e-mail the form.

By applying to become a member of the Maidstone Arsenal Supporters Club you hereby agree to the terms and conditions of the Membership.

Data Protection Act – Please tick the box if you do not wish to receive information from Arsenal or its associate third parties. Please contact for Arsenals full data protection policy.