200 CLUB
APPLICATION
By completing this form you will help us to complete the administration process by prompting us to check the receipt of funds in your name.
This is particularily relevant to those of you setting up Internet Payments.
It will also enable us to respond notifying you of your allocated numbers.
E-Mail Address:
Payment Method:
Payment Frequency:
Quoting Reference (members name):
Club Membership No:
I have read and understand the rules:
For those of you setting up internet banking transfers the 200 Club bank account details are:
Sort Code 40-47-09,
Account Number 11808753.

Staff members may leave the Membership Number blank.