Shawn Cuddy

Fan Club Application Form

Surname.................................................
Forename................................................
Address.........................................................................................................................
............................................................................................................................................
Postcode..............................................................
Telephone No...................................................
Date of Birth..................................................
Signature............................................................
Date........................................................................
Yearly Membership Fee Is 7.00(ster) Per Person Made Payable To The: Shawn Cuddy Fan Club
Fan Club Secretary
Sheila Graham

Teac Croc

Tannochbrae

Luggiebank

by Cumbernauld

G67 3HU

Tel:-01236725665

(print form and send with payment to fan club secretary)