Please print this page and send you completed form(s) to the address below.

One form per person applying for membership

Payment is by cheque (when posting) or by cash (in person), please make cheques payable to:

Original St Helens RLFC Supporters Club

Name  
Address

 

 

 
Telephone Number  
D.O.B (for Junior Saints)  
Type of Membership Adult Saint (£4) / Junior Saint (£2) / Senior Saint (£2)

Form(s) to be returned to:

 

Mrs E Cummings, 12 Canniswood Road. Haydock, St Helens WA11 0EA

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