ALTRINCHAM FOOTBALL CLUB SUPPORTERS' ASSOCIATION

APPLICATION FOR MEMBERSHIP

Title    Forename(s)    Surname

Address

Postcode Tel No(Home) .

(Work).

(Mobile).

E-Mail Address

Date of Birth 

Family member details (applies to Family membership only)

Membership Type (Please tick appropriate box)

The fee is by donation with a minimum amount of:
 
Adult 
£3.00
Junior (16 or under)
£1.00
OAP
£1.50
Family 2 Adults and 4 children
£5.00
Donation 

If you live outside the Counties of Greater Manchester or Cheshire you can also join the special section called Alty in Exile. If you wish to join Alty in Exile please tick the below box.

Exiles membership, additional £1 per month or £12 for season  

 

Donation 

SAFE has been formed by Alty fans, for Alty fans.The more of us there are who can give some time to help out the better. Check us out on the Internet on the Altrincham FC Official Web Site at www.altrinchamfc.com and on its special pages for  SAFE and Alty in Exile  

Please return completed form and a cheque to:

Membership Secretary, SAFE, c/o Altrincham Football Club, Moss Lane, Altrincham WA15 8AP

Or, Membership Secretary, SAFE, 58 Irwin Road, Altrincham, Cheshire, WA14 5JR

and for Exiles please return to:

Alty in Exile c/o Jacqui Forster, 2 Union Way, Witney, Oxon, OX28 6HD

If you think you may be able to help in any way (or know someone who might) please give us details below or contact us here.