MMIIDDDDLLEESSEEXX CCOOUUNNTTYY CCRRIICCKKEETT CCLLUUBB Membership Application Form 2010

Club Cricket Conference Membership Offer

Join Club as a Full, Country or Panther member and raise money for your own club!

Membership Type Direct Debit Cash Rate Joining Fee Rate Full Member £150 £160 £50 Country Member £85 £95 £50 (over 50 miles from Lord’s as the crow flies) Panther Member (aged 8 - 18) £45 £48 £0

= For each club member that joins Middlesex as a FULL or COUNTRY MEMBER, we will send £25 back to the club. = For each club member that joins Middlesex as a PANTHER MEMBER, we will send £5 back to the club.

Extra prizes will be given to the clubs who get the most members to join Middlesex CCC before 31 May 2010, so join up now to help your club benefit from this offer!

Please fill out the application form overleaf to join. Don’t forget to add your club’s name where requested.

Please call the office on 020 7289 1300 for further details.

Fantastic Membership Benefits . FREE ADMISSION to home matches in the LV= , all Clydesdale Bank 40 and Friends Provident t20 matches, and tourist matches Come & (MIDDLESEX v AUSTRALIA & MIDDLESEX v BANGLADESH in 2010). support the In all, some 40 days of cricket a year. Middlesex boys . Access to the famous Lord’s Pavilion and the Long Room during Middlesex matches. including Andr . The right to invite a guest into The Pavilion. Strauss, Owaisew . Use of the Middlesex Room and members’ stands at Lord’s, as well as other Shah, , specified matches e.g. 5th Day of Test matches. Eoin Mor . Entry into ‘members only’ areas at away grounds. gan & . PRIORITY BOOKING for Test and major match tickets at Lord’s ahead of the general public. . The opportunity to meet the players at social functions during the year. . The right to attend members’ forums to hear the views of the playing, coaching and administrative staff. . Regular mailings including the Annual Review and Panther magazines. . After you join you will be invited to a New Members’ Reception.This includes a tour of the ground and Pavilion, where you will be shown all of the members’ facilities, as well as the Investec Media Centre. . If you pay by Direct Debit you are entitled to a discount on your subscription. . Free pair of exclusive Middlesex CCC binoculars. . Don’t forget that once you’re a member if you introduce THREE friends as new members you will receive a FULL REFUND on your current year’s membership (this does not include the joining fee).This offer CANNOT be used in conjunction with this Club offer.

Middlesex County Cricket Club, Lord’s Cricket Ground,London, NW8 8QN Tel: 020 7289 1300 Fax: 020 7289 5831 [email protected] www.middlesexccc.com New Member Details (ClubCC2010)

THE NAME OF YOUR CLUB:

Surname: Forename(s):

Address:

Postcode: Title: Middlesex C.C.C. Date of birth: Occupation: Lord’s Cricket Ground London Telephone (home): Telephone (work): NW8 8QN Tel: 020 7289 1300 Telephone (mobile): Fax: Fax: 020 7289 5831

Email:

Where did you hear about Middlesex membership? Pay by direct debit and save up to £10!

Class of membership Just complete, sign and return the form to Middlesex CCC to Annual subscription: £______Joining fee (if applicable): £______take advantage of

Total payable: £______Payment method: the reduced rate.

Credit/Debit Card Details (if applicable)

Number:

Expiry date: Switch issue number: ou

Security Code (three digit number on the back of the card): e

Signature ou ar , y Please also send a . From time to time Middlesex and the England & Cricket Board (ECB) may wish to et Club will notify y eed. provide you with information regarding cricket and related events, information on products ick and services offered by them and each of their commercial partners. If you ARE happy for ed and us to contact you for purposes other than this application, please tick the box c. or e part in the Direct Debit Instruction ak Middlesex County Cr Middlesex ee

Instruction to your bank or building society , our bank or building society

Name(s) of account holder(s): ant o y hange Bank/Building Society account number: . et Club or your bank or building society et Club or your es c

Sort code: ick - - To: The Manager: Bank/Building Society Instruction to your bank or Building society

Please pay Middlesex County Cricket Club Direct Debits of the amount paid. branch your efund from

Address: e r from the account detailed in this instruction subject to ect Debit Guar the safeguards assured by the Direct Debit Guarantee. I iciency and security of this scheme is monit and security of this scheme iciency understand that this instruction may remain with f y all banks and building societies that t Middlesex County Cricket Club and, if so, details will be

passed electronically to my Bank/Building Society. . ed b The ef The Dir . er f wn bank or building society Signature(s) o us heme our o ee is of y ...... Date ...... king days in advance of your account being debited or as otherwise agr account being debited of your in advance king days or ected b ected ot

Originators ID Number 9 9 1 0 0 7 writing t time by debit any ou can cancel a direct copy of your letter t letter of your copy pr guaranteed a full and immediat guaranteed Direct Debit Sc Direct 14 w This Guarant dat be paid or the payment If the amounts to County Cr Middlesex is made by If an error Y

Reference Number (For office use) n n n n