Pembroke Cricket Club

  

Membership Enquiry Form 2008

* These fields are required, if you don't have all 3 contact telephone numbers please populate the other fields with your single contact number.

First Name*:
Surname*:
Date of Birth* (dd/mm/yy) eg 20/01/77
Address*:
Work Phone Number*: eg +353-1-4168889
Home Phone Number*: eg +353-1-4168889
Mobile Phone Number*: eg +353-868381637
Previous Club in Leinster Cricket:
Previous Club Other:
Type of Cricket *:
Batting Style*:
Bowling Style*:
Wicketkeeper*:
Membership Type*:
Email Address*:
General Comments:

Pembroke Cricket Club, will only use data collected in the form for club use. The data will stored and only used for the duration of the membership of any given individual. Pembroke Cricket Club will not sell or give to others you personal information. And of course you are free to abstain from completing the above form, and may contact us via an other method such as via email at recruit@cricket.ie .