SUMHC Membership Form 2011-12

Name: Hockey Name:

Mobile Number: Year of Graduation:

Email: Playing Shirt Number:

Sheffield Address for 2011/12: Position (please tick the appropriate box):
Goalkeeper

Defender

Midfielder

Forward

Payment Options (please tick the appropriate box):

1) Pay early (before June 10th) at this years prices:

Uni Memeber £120

Joint Member £110

2) Pay next academic year (before November 4th) at new prices in one installment:

Uni Member £125

Joint Member £115

3) Pay next academic year (before November 4th) at new prices in two installments1:

Uni Member 2 x £65

Joint Member 2 x £60

1
To pay in two installments, please attach 2 post dated cheques, dated 1st October 2011 and 1st February 2012.

4) Goalkeeper Membership2:

Uni Member £65

Joint Member £60

2
Goalkeeper membership rates only apply to Goalkeepers who have their own kit.

5) Social/5th team Membership3:

Uni/Joint Member £50

3
Any games played by social members will have match fees to cover pitch costs. For BUCS games match fees will be £5.

Notes:

If you are unsure whether you are going to play for Bankers next year please pay the uni member rate and,
if you decide to play for Bankers, the club will refund you £10

Please make cheques payable to ‘The Union’ with ‘MHO’ written on the back