AFC Portchester Football Club
Wicor Recreation Ground, Cranleigh Road, Portchester, PO16 9DL
Telephone: 02392 272701        Email:
  September 2022 to May 2023
Signed for One Team £25.00
Signed for Two Teams £35.00
Training Only £12.00
Single Membership (included in first charge) £25.00
Second Membership + (included in first charge) £15.00




Please select Single membership for your eldest or only child signing for the club.

Please select Second membership for children that have older siblings signed for the club.

Customer Ref:


Take certain number of debits
Number of Debits:

Payment Information

Payment Day:
First Payment Date:
01 September 2022
The first amount (if different to the regular amount) should be:
£ 50.00

Total First Payment:
I wish to pay a regular Direct Debit of:

Personal Details


Additional Information


Instruction to your Bank or Building Society to pay by Direct Debit

EAZY COLLECT RE AFC PORTCHESTER, Wicor Recreation Ground, Cranleigh Road, Portchester, PO16 9DL

Service User Number:


Checking the box indicates that I am the Bank/Building Society holder and no authority other than my own is required. If more than one person is required to authorise debits from the account, you are unable to setup a direct debit online.

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