NUFC Isle Of Man Supporters Club

                               Membership Form

Name : Mr / Mrs / Miss................................................................................................

Address : .....................................................................................................................

                .....................................................................................................................

                .....................................................................................................................

Postcode : ...................................

Telephone : Home .......................................

                    Mobile.......................................

Email: ...........................................................

NUFC Club Member : Yes / No    Membership Number ............................................. 

Season Ticket Holder : Yes / No  Ticket Number ......................................................

Age if Under 16....................................................

I enclose payment of £10.00 for one years Membership of NUFC IOM SC

Signed ..............................................................            Date .....................................

Please return completed forms to Mr M McGarry 56 Governors Hill, Douglas, IM2 7AU

Or copy and email to toonmadmcgarry@yahoo.co.uk  (Membership fee due at first meeting)

Your personal details will be held by the Supporters Club within Manx Data Protection Law. No details will be passed on to any

other organistation with the exception of Newcastle United Football club.

Note : Membership of under 16's is Free