Gidea Park & Romford CC 100 Club

Welcome to Gidea Park & Romford CC's 100 Club!

Our 100 club is a draw that takes place at every third week of the month. You can become a member by buying one or more numbers at £5 each per month.

50% of the money will be given out in prizes (30% to the winner, 15% to second place and 5% to third place).

Your Name*

First NameLast Name

E-mail*

Phone Number*

Area CodePhone Number

How many numbers would you like to enter per month?*

1, 2, 3 etc.

Payment*

Monthly payment of 5 GBP per month per number(GBP for each month)

12 month up-front payment of 60 GBP per number(GBP for each year)

Total £0.00

Email

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

All payments are processed directly by a third party payment provider. Please be assured that no member of GPRCC has access to any of your credit card details.

I wish to join GPRCC's 100 club and I will pay the amount above to be entered in each month's draw until I inform the GPRCC 100 club that I no longer wish to participate (by emailing mtarr1208@gmail.com). I confirm that I am over 18 years of age.*

I agree

Monthly Calculation*

Annual calculation