Join City Fans United Membership Form This form should be used for City Fans United Membership. To join or renew, please fill out the details below. Please note that all memberships expire on 31st May. If you join after 1st March your expiry will be 31st May the following year. It is also possible to set up a Direct Debit for regular monthly payments, please email nick.phillipson@chesterfc.com who will be able to set this up easily for you. To make a donation on top of your membership fee, please enter your total contribution in the area below. If you do not wish to make a donation at this time, please select the total which corresponds to your membership type. Online payment is taken through the Paypal system (with Credit / Debit card option) If you wish to pay by cash or alternative method please contact or visit the club ticket office. New Membership Membership * Adult - £ 12.00 Please renew my membership automatically. Membership will renew automatically. Additional Contribution * £ 8.00 £ 15.00 £ 20.00 £ 25.00 £ 30.00 No thank you Other Amount Other Amount £ Total Amount Member Details Title * Mr. Mrs. Miss Ms. Dr. Rev First Name * Middle Name Surname * Date of Birth * Address Line 1 * Address Line 2 Address Line 3 Post Town * County - select State/Province - Aberdeen City Aberdeenshire Angus Antrim and Newtownabbey Ards and North Down Argyll and Bute Armagh City, Banbridge and Craigavon Bedfordshire Belfast Berkshire Blaenau Gwent Bridgend Bristol, City of Buckinghamshire Caerphilly Cambridgeshire Cardiff Carmarthenshire Causeway Coast and Glens Ceredigion Cheshire Clackmannanshire Clwyd Co Antrim Co Armagh Co Down Co Fermanagh Co Londonderry Co Tyrone Conwy Cornwall County Durham Cumbria Denbighshire Derbyshire Derry City and Strabane Devon Dorset Dumfries and Galloway Dundee City Dyfed East Ayrshire East Dunbartonshire East Lothian East Renfrewshire East Riding of Yorkshire East Sussex Edinburgh, City of Essex Falkirk Fermanagh and Omagh Fife Flintshire Glasgow City Gloucestershire Greater Manchester Gwent Gwynedd Hampshire Herefordshire Hertfordshire Highland Inverclyde Isle of Anglesey Isle of Wight Kent Lancashire Leicestershire Lincolnshire Lisburn and Castlereagh London Merseyside Merthyr Tydfil Mid and East Antrim Mid Glamorgan Mid Ulster Midlothian Monmouthshire Moray Na h-Eileanan Siar Neath Port Talbot Newport Newry, Mourne and Down Norfolk North Ayrshire North Lanarkshire North Yorkshire Northamptonshire Northumberland Nottinghamshire Oldham Omagh Orkney Islands Oxfordshire Pembrokeshire Perth and Kinross Powys Renfrewshire Rhondda, Cynon, Taff Rutland Scottish Borders Shetland Islands Shropshire Somerset South Ayrshire South Glamorgan South Gloucestershire South Lanarkshire South Yorkshire Staffordshire Stirling Suffolk Surrey Swansea Torfaen Tyne and Wear Vale of Glamorgan, The Warwickshire West Dunbartonshire West Glamorgan West Lothian West Midlands West Sussex West Yorkshire Wiltshire Worcestershire Wrexham Country * - select Country - United Kingdom Australia Belgium Canada Denmark Falkland Islands (Malvinas) Finland France Germany Gibraltar Greece Greenland Guernsey Hong Kong Iceland India Ireland Isle of Man Italy Jersey Malaysia Malta Netherlands New Zealand Norway Poland Portugal Singapore Spain Sweden Switzerland United States Post Code Home Phone Mobile Phone Email (Home) * Email (Work) Payment Options Payment Method Paypal GoCardless Review your contribution