CSCM REFERRAL PROGRAM

Do you know any local supporters of Chelsea FC who are not members of CSCM?
Do your bit for the club - Get them to visit this website and maybe they will be interested in becoming members too! Thanks!


	Your Name :
	Your Surname :
	Your CSCM Membership No. :		(If Applicable)
	Your Email* :

Referral 1		Name :
		Surname :
		Email :

Referral 2		Name :
		Surname :
		Email :

Referral 3		Name :
		Surname :
		Email :

	Comments :
	How did you hear about us:(*)		InternetReferralWord of Mouth Printed MediaAdvertisingOther...
			Multiple items may be chosen

	* (required)
NB: Information collected from this form will only be used in conjunction with the CSCM referral program. Emails may also be put into the CSCM database if not already there for future CSCM surveys and/or CSCM promotions. This data will NOT be sold to nor given in exchange/gratis to third parties.

THANKS FOR HELPING OUT!


Click here to go back to the index page
© 2005 Chelsea Supporters Club - Malta®	Enquiries	Last update: Wednesday, May 25, 2005
Best with Microsoft® IE at 1024 x 768. Designed with Adobe® GoLive®	Email	Report dead links etc here.	Legal