Senior Membership

The club membership form for the Senior Club is below.  We are working on providing a downloadable version but in the meantime you can copy the form below into a Word document and print and forward to our membership secretary Sioned Foulkes or contact Sioned and ask for a form.

Sioned Foulkes, Bryn Glas, LLanfair Rd, Ruthin, LL15 1BY.  e-mail: sionedfoulkes@hotmail.com 

 

I would like to join Ruthin Rugby Football Club, Cae Ddôl, Ruthin. I understand that Ruthin Rugby Football Club, its servants, agents or employees are not under any liability, whatsoever for loss of property, accidents or injuries however caused during the course of spectating, training, preparation or matches played at Ruthin Rugby football Club or any other ground.

Caraf ymaelodi â Clwb Rygbi Rhuthun, Cae Ddôl, Rhuthun.  Deallaf nad yw Clwb Rygbi Rhuthun, ei weision, asiantau neu weithwyr o dan unrhyw atebolrwydd o gwbl ar gyfer colli eiddo, damweiniau neu anafiadau a achoswyd yn ystod y gwylio, hyfforddiant, paratoi neu gemau yng Nghlwb Rygbi neu unrhyw gwb arall.

 

Section/Adran A (to be completed in BLOCK CAPITALS please)

 

Name/Enw:                                            __________________________________________________________________

 

D.O.B/Dyddiad geni:                               __________________________________________________________________

 

 

Address/Cyfeiriad:                                  _______________________________________________________________________________

 

                                                                _______________________________________________________________________________

 

 

Mobile/Ffôn Symudol:                            _________________________________________________________________

 

Home no/ Ffôn adref:                            _________________________________________________________________

 

 

E-Mail/e-bôst:                                        _______________________________________________________________________________

 

Occupation/Swydd:                _______________________________________________________________________________

 

Playing Position/Safle chwarae:            _______________________________________________________________________________

 

Previous Club/Clwb blaenorol:               _______________________________________________________________________________

 

 

Section/Adran B (Membership Type)

I wish to apply for the following membership:

                                                               

Full Playing member                              £50                          Youth / Student                      £40

Full Playing (by Standing Order)            £45                          Junior                                      £40                         

Full Non-playing member                      £40                          Patron                                     £100                                       

Family Membership: 1 playing child £50 / 2 playing children or 1 playing adult + 1 playing child £85 / 3 playing children or 1 playing adult + 2+ playing children £120

                               

*Delete as appropriate. I wish to pay by:    CASH / CHEQUE / STANDING ORDER     (Please complete Section D for this.)

To pay by STANDING ORDER please detach the slip below and take it to your bank.

I dalu trwy ‘STANDING ORDER’ dadgysylltwch y ffurflen isod a’i roi i’ch banc.

 

 

Section D (Standing Order Form) Please take this form to your bank to be processed, thank you.

 

I wish to pay annual membership subscription by standing order.

 

To: (Name of my Bank) ___________________________________________   (Branch) _______________________________________

 

I hereby authorise you to pay from my account: (My name/name of account) ______________________________________________ 

 

 

Sort Code: ___________________________________  Account No: ______________________________________________________

 

The sum of  £_______________ on the 31st October 2017 and thereafter every year to Clwb Rygbi Rhuthun Cyf at:

 Barclays Bank, North Wales Central.  Sort Code 20-25-76.      Account No 73175529.

 

 

Signed:    _______________________________________________________  Date: ________________________________

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