Mancass

This form will inform Mancass of your interest in joining the club.
We will respond to you with details of payment method and cost depending on how many shares you require.

Membership Application

Please fill in your details and if possible the number of shares you require ( 1 is the minimum but you can have a max of 5 ). We will then confirm your start date, monthly cost, membership and lottery number(s)

Full Name *

Title *

Mr

Mrs

Miss

Ms

Postal Address *

Contact Telephone Number *

Your telephone number we normally contact you on

Type *

Home

Work

Mobile

email address *

Lottery Shares *

Please insert number of shares you require

reCAPTCHA *

First Name

This form will inform Mancass of your interest in joining the club. We will respond to you with details of payment method and cost depending on how many shares you require.

Membership Application

This form will inform Mancass of your interest in joining the club.
We will respond to you with details of payment method and cost depending on how many shares you require.