KHIST - Kidderminster Harriers Independent Supporters Trust

12th Man Draw – Deadline to Renew Extended to 31st July

21 July 2012
by

The deadline to renew your membership and qualify for the 12th Man draw has been extended to 31st July 2012 to enable membership renewals to be accepted at the forthcoming friendlies.

There will be KHIST tables situated around the ‘Hire It’ stand and North stand before the friendly fixtures on 27th July and 31st July where you can renew your membership or join KHIST. Remember that to qualify for the 12th Man draw you need to make an additional donation of £4.00 – That’s £5.00 in all.

The draw will take place at half time during the Walsall game on 31st July.

The official squad photograph is scheduled for the morning of Monday 6th August.

To be included in the draw to be an official squad member for the new season please renew your membership now by completing the submission below.

If you have any questions please contact Geoff Coles on 07760 447051  geoff.coles@khist.org.uk or Frankie Del Vecchio on 07802608944.

Your continuing support of KHIST and Kidderminster Harriers FC is much appreciated.

KHIST Membership Form

1. Your Name:

2. Address:

3. Your Date of Birth:
- -

4. Your Email:

5. Telephone:

6. New membership or renewal?:
 New Membership Renewal of Membership

7. Would you like to be included in the 12th Man draw?
 Yes I would like to be included in the 12th Man Draw
(Please Note: this requires a minimum of a £4 donation in addition to your £1 membership fee and is only available to memberships taken out/renewed before the 27th July 2012)

8. Would you like to be added to/remain on the KHIST e-newsletter list?:
 YES - Please add me to the KHIST e-Newsletter list No

9. How would you like to pay for your membership?:
 PayPal Cheque

10. How would you like to receive your membership card?: (If you require your membership card to be posted please make an additional voluntary contribution of at least 50p to cover costs)
 Post Collection

11. If collection, which are of the ground would you like to collect from?:
 North Stand East Stand

12. Would you also like to join the very successful KHIST 2020 Lottery?
 Yes No I have already joined the lottery I'm not sure - could you please send me more information

13. If you have suggestions, think you can help with KHIST, or if there's anything else you want to say, please enter it in the box below:

14. Unfortunately, we have received a large number of bogus membership forms, which are sent by computer scripts searching websites for email addresses. To prevent this, we have added the following feature to our forms to confirm you are human:-

captcha
Please type the characters you see above here:

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