LONDON WOLVES SUPPORTERS CLUB

2006-7 Membership Application Form

    Please select the membership type

    Great Britain & Ireland

    £18 annually

     

    Overseas

    £21 annually

     

    OAP

    Free

     

    Joint (2 persons, 1 magazine)

    £22 annually

     

    Family (3 or more persons, 1 magazine)

    £26 annually

     

 

 

 

 

      Please enter your details here

Name

Address

 

Town/City

County/State + Country

Post/Zip code

e-mail

date of birth (if under 16)

Telephone

Mobile

**Please enter the number of fundraising tickets you can sell

Signature

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

You can fill in the form before printing and then click here to print it. By applying for membership you agree to adhere to the WWLSC rules.

Afterwards, click here to return to the membership page...

Once you have printed, completed and signed the form please send it, together with the appropriate annual fee, to

Dave Slape, 26 Brockenhurst Way, London SW16 4UD

enclosing a stamped address envelope for the return of your membership card. Cheques/postal orders should be made payable to WWLSC.

**Fundraising tickets are Instant Win Blackjack tickets described on the Merchandise page here