If you do not wish to purchase a membership via our online shop, simply print and complete the following form and send it with your payment, in either £ Sterling, by cheque, Postal Order or by credit card, to: Club Jordan P.O Box 1817 Buckingham England MK18 7ZZ

Name (please print).....................................................................................

Address .....................................................................................................

.................................................................................................................

Post Code.......................

Country.................................................

e.mail...................................................

I wish to enrol as a member of: Club Jordan_____Club Jordan Platinum____
(please tick one)

If  you wish to enrol as a Club Jordan Platinum member, please specify one of the following t-shirt sizes:

Small (  )   Medium   (  )   Large (  )   X-Large (  )  

I wish to pay by  cash___ cheque___ credit card / switch___

Card No. __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

Expiry Date __ __ / __ __   Switch issue No. __ __

Club Jordan (Standard) £19.95 / €29  Club Jordan Platinum £45.95 / €67
P & P Club Jordan UK £6.50 Europe inc. Ireland £8.50 / €12.50 Rest of world £14.50
P & P Club Jordan Platinum UK £10.50 Europe inc. Ireland £12.50 / €18.50 Rest of world £19.50