Cornish Pirates 'Press Gang' Supporters Club Membership Form

Cornish Pirates 'Press Gang' Supporters Club

Membership RENEWAL Form

Single Membership £5 - Family Membership £10
Make Cheques payable to: Cornish Pirates Press Gang

Send completed forms and subscription to:-
R.N. Francis, 36 Fore Street, Camborne, Cornwall, TR14 8AZ.
Or By hand to
Pirates shop at the Mennaye Penzance
Camborne Match Days - Press Gang in The Beer Tent or Shop
Alan Marsh - Admiral Benbow Pub Penzance

Select Membership Type:

Single £5

Family £10

Life £100

Name
Address

	Post Code
E-Mail
Phone	Mob
Forum Name

Additonal Family Members (Family Memberships)
Name
Address

	Post Code
E-Mail
Phone	Mob
Forum Name

Additonal Family Members (Family Memberships)
Name
Address

	Post Code
E-Mail
Phone	Mob
Forum Name

Additonal Family Members (Family Memberships)
Name
Address

	Post Code
E-Mail
Phone	Mob
Forum Name