Group Application Form

Thank you for your interest in a Group Membership of the Cowdenbeath Independent Supporters Society. Your support is very much appreciated.

In order to register your group membership, please fill in the application form below.

Group Membership Name

The proposed name of your Group

Group Members

Please list the members in your group (you can add to this in the future)

Lead Contact Name

First Name

Last Name

Lead Contact Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Lead Contact Email

Lead Contact Phone Number

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