ecb association of cricket officials application for...
TRANSCRIPT
ECB Association of Cricket Officials Application for Membership
ECB ACO Membership, ECB Offices, Warwickshire County Cricket Ground, Edgbaston, Birmingham B5 7QX
The ECB may wish to contact you regarding future opportunities, including those of ECB commercial partners (a full list is
available on www.ecb.co.uk) in which you may be interested.
Consent: by submitting this form, you understand that you are consenting to receive information from the ECB
about opportunities by post, phone, email or SMS. If you do NOT wish to receive such information please tick this box:
You are entitled to a copy of the information held about you for which a fee may be charged. Details of how to do this will be
provided by your County Board on request.
Signature: Date:
Membership No: Official use only
By submitting this form you are agreeing that the England and Wales Cricket Board (ECB) may use the information
provided on this form together with other information held about you including your education and history
as a cricket official and/or as a member of the cricketing community (together Information) to:
Administer membership of the ECB ACO including keeping your affiliated County ACO
informed of your membership status
Administer your attendance and completion of courses
Administer your benefits to ensure you get the most from your membership.
The ECB will hold your Information in a database which may be searched by County
ACO’s/Boards each of which may use it to:
Verify your qualifications and qualification criteria
Provide pre and post course administration.
*You will automatically be affiliated to the CountyACO that you reside in, unless otherwise stated
Title: Initial(s): First name: Surname:
Address (IN FULL):
Postcode:
Phone: Home: Mobile:
Email (important):
Date of birth: Ethnicity:
If you have any form of disability, special needs or medical conditions please give details:
Details of the course you are attending / attended - County: Dates:
Venue: Tutor:
Please tick as appropriate Umpire Scorer Both Active Non-active
County affiliation*:
Membership you are applying for, please tick your choice :
Full Member: payment method, D/D @ £30 / Chq @ £32. DBS required. Insurance provided
Associate Member: payment method, D/D @ £15 / Chq @ £17. No DBS. No insurance provided
Young Official (25 & under): payment method, D/D @ £15 / Chq @ £17. DBS required if 16 & over. Insurance provided
EC Member: payment method, D/D @ £30 (UK bank account only) / Chq @ £32. No DBS. Insurance provided
Overseas Member (non EC): payment method, D/D @ £15 (UK bank account only) / Chq @ £17. No DBS. No insurance provided
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ECB ACO Membership
ECB Offices
Warwickshire County Cricket Ground
Edgbaston
Birmingham
B5 7QX
Name(s) of Account Holder(s)
Bank / Building Society Account Number
Branch Sort Code
Instruction to your Bank / Building SocietyPlease pay England and Wales Cricket Board Ltd Direct Debits from the
account detailed in this instruction subject to the safeguards assured by
the Direct Debit Guarantee. I understand that the instruction may remain
with England and Wales Cricket Board Ltd and, if so, details will be
passed electronically to my Bank / Building Society.
Originator’s Identification No.
6 8 7 4 4 5
Instruction to your Bank or Building
Society to pay by Direct Debit
Name & full postal address of Bank / Building Soc.
To: The Manager Bank/Building Society
Address
Postcode
Signature(s)
ACO Membership Number
Date
Name
Banks and Building Societies may not accept Direct Debits from some types of account.
This guarantee should be detached and retained by the Payer.
perf
The Direct Debit Guarantee. This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits
. If there are any changes to the amount, date or frequency of your Direct Debit the England and Wales Cricket Association of Cricket
Officials will notify you ten working days in advance of your account being debited or as otherwise agreed. If you request the England and
Wales Cricket Association of Cricket Officials to collect a payment, confirmation of the amount and date will be given to you at the time of
the request.
. If an error is made in the payment of your Direct Debit by the England and Wales Cricket Association of Cricket Officials or your bank or
building society you are entitled to a full and immediate refund of the amount paid from your bank or building society.
. If you receive a refund you are not entitled to, you must pay it back when the England and Wales Cricket Association of Cricket Officials
asks you to.
. You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required.
Please also notify us.
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