Don't X The Line Campaign | Respect Starts Here

Membership Application Form

Name
Address
Postcode
Telephone
Mobile
Email

Club Details

Name
Position
Club Address
Postcode
Telephone
Website

Membership Required

Individual £15

	Team £25
	Club £50
	League £250

Method of Payment

	Cheque-Please make cheques payable to 'Don't X The Line'
	Credit Card-To pay by credit/debit card please call 0845 330 2117

Please send cheques (if applicable) to: Don't X The Line Campaign,
Unit 11 Hugh Business Park, Bacup Road, Rossendale, Lancs, BB4 7BT

Our Policy

This information will be held on our database and used to provide information and updates that we consider may be of interest to you from time to time. We will not share your information with anyone outside of your organisation.

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