Use and storage of your personal information.

We will ensure that all personal information supplied is held securely, in accordance with the Data Protection Act 1998.

	Forename	Surname

	Sex
	malefemale

	Address 1	Address 2
	Address 3	County
		please select Avon Bedfordshire Berkshire Buckinghamshire Cambridgeshire Cheshire Cleveland Cornwall Cumbria Derbyshire Devon Dorset Durham Essex Gloucestershire Hampshire Hereford & Worcester Hertfordshire Humberside Kent Lancashire Leicestershire Lincolnshire London Manchester Merseyside Norfolk Northamptonshire Northumberland Nottinghamshire Oxfordshire Shropshire Somerset Staffordshire Suffolk Surrey Sussex Tyne & Wear Warwickshire West Midlands Wiltshire Yorkshire
	Postcode

	Telephone	Mobile

	Email

	Club Representing

	Club Telephone	Club Email

	Club Address

	Notes

	User name

	Password	Verify Password

	Security Question
	please select Favourite Football Team Place of Birth Mother's Madien Name

	Security Answer

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