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)

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