Senior Membership Form

Please make cheques payable to "ORKNEY RUGBY FOOTBALL CLUB". Please do not use any abbreviations.
To be paid before 1st October

ALL INFO IS REQUIRED FOR SRU REGISTRATION OF PLAYERS
ALL PLAYERS MUST BE REGISTERED BEFORE START OF SEASON TO PLAY RUGBY!
SCRUMS REGISTRATION SYSTEM - More information CLICK HERE

Please send payment to:
Senior Membership Secretary,
Steven Bruce,
Shenavall,
East Hill,
Kirkwall,
KW15 1LY

Tel: 01856 873456
Mob: 07739 898800
E-mail

(Or pay online below)

Personal Details:
(*) = required

* Indicates required field

Name *

First

Last

Address *

Phone Number (Home) *

Phone Number (Work) *

Phone Number (Mobile) *

Email address *

Front Row Trained? *

Yes No

Playing Position *

Preferred Internal League Team *

Kirkwall West East Westray

Preferred method of contact *

Membership Category *

Senior Player 1st or 2nd - £80 Ladies Player - £80 Student Player - £30

Payment Method *

PayPal / Credit Card Internet Banking / Bank Payment Cash / Cheque

Please only press the submit button ONCE - it can take a while to go through!
If you have any problems or questions, contact the Senior Membership Convenor..

Submit

You can use the details on the right to pay for your membership using online banking. This will benefit the club by avoiding PayPal fees.

(Please also include the NAMES OF MEMBERS you are paying for in the description / reference box, or e-mail Olga)

Name: Orkney Rugby Football Club
Bank: Bank of Scotland
Sort code: 80-08-66
Account number: 10209864