Membership form - new

Complete your Chichester Runners membership online

The membership year now runs from 1st April to 31 March as agreed at the last AGM.

Subscriptions for 2021 are due by 15th March 2021 at the latest.

Please choose a membership option.

Individual Two People Family Junior

Your details

Title
DR MISS MR MRS MS

First Name *

Last Name *

Date of Birth *

Home Address *

City *

County *

Postcode *

Country *
UNITED KINGDOM

Home Phone Number *

Mobile Phone Number *

Email Address *

Anniversary 1 Title *

Anniversary 1 Date *

Full Membership Subscription

Tick relevant box & complete a seperate form for each person please

Full Membership (£30) Full-time Student (£20) Over 60 (£20) Under 18s Junior including EA (£30) EA Only (£16) Life Member

Associate Member Subscription

Trail Runs (£20) Second Claim (£15)

English Athletics

Do you wish the club to (renew) register you with England Athletics (EA) for 2021/22?
Yes (Additional cost of £16 per membership)

Fill billing address from Home Address?

Billing Address *

City *

County *

Postcode *

Country *
UNITED KINGDOM

Payment Method *
Credit Card

Name on Card *

Card Number *

Card Expiry *
01 02 03 04 05 06 07 08 09 10 11 12 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030

Card Type *
Visa Mastercard

CCV Number *

Amount *
£