Buckinghamshire RFU Referees Society Membership Registration Form 2008-2009

Personal Information

User Name *
Password *
Confirm Password *

First Name *		Address Line 1 *
Last Name *		Address Line 2
Email *		Post Code *
Appointments Contact Number *		Mobile

CRB Number		CRB Expiry
Age (at 01.09.09):1

Membership Information

New Member:2	£25	Chest Size
Renewal:3	£5
At which level do you wish to referee?:4	All Levels	Seniors Only	Juniors Only

Availability

Day	Most Weeks	Occasional Weeks	Not At All
Saturday:
Sunday:
Midweek:

1 This is included for the purpose of RFU reporting.

2 One society shirt and pair of socks is included for new members.

3 Includes participation at monthly meetings.

4 Only paid members are fully insured through the society

This data will be held on a computer for the purposes of providing a membership register. Details of active referees will be provided to clubs in membership of the Buckinghamshire Rugby Football Union in order to be able to contact referees.

You can now make payment through the website using PayPal. You will be sent an email of confirmation when you resiter. Simply login and you will be re-directed to a PayPal payment page.

Members only

Membership list

Copyright 2012 | Buckinghamshire Referees Society