I apply to join the Exeter City Supporters Club for the season 1996/97.



I enclose my subscription of £5.00 and SAE if not applying in person. 

(Cheques should be made payable to Exeter City Supporters Club)

	

Name:      [______________________________________]



Address:   [________________________________________________]

           [________________________________________________]

           [________________________________________________]

           [________________________________________________]

Post Code: [______________________________________]



Country:   [______________________________________]





Signed:    [________________________________________________]



Date:      [________________________]