Blue & Gold Trust - Online Membership

Online Membership Form

You can pay your Blue & Gold Trust Membership Online

Name *
Address *
Town/City *
County
Country		Post Code *
Date of Birth +
E-mail Address *
Phone Number *
Mobile Number
Membership Type
Full Annual Membership £10.00 (includes a £1.00 shareholding) Associate Membership £4 (for those aged 12-16th birthday) Corporate Membership £75. The information contained in this application will be stored on computer and will be used for the administration of The Blue and Gold Supporters Society Ltd. Information will be kept secure and not passed onto any individual or third party. You have a right to see any information held about you.
You may be contacted using the following means, please tick any by which you do NOT wish to be contacted.
	E-mailLand MailSMS
Membership year runs from the date of joining and is renewable annually. Please note that applications may be refused at the Trust’s discretion. * Mandatory field + Mandatory unless Corporate Member

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