Forename

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Address 1

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* Share 1 magazine.  Resident same address, 2 adults + U18s

Single £20 annually

Overseas £23 annually

Joint (2 people) £24 annually*

Family (3 or more persons) £28 annually*

Mobile # address

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You may complete the form on-line before printing, or print a blank form.

After completion please sign and send with the appropriate annual fee to

Dave Slape

Secretary, WWLSC

26 Brockenhurst Way

London SW16 4UD

Contact Dave Dave.Slape@londonwolves.com 020 8764 8023


Alternatively please transfer the fee to the Wolverhampton Wanderers London Supporters’ Club account

 WWLSC - account # 11216465  Sort Code 40-02-31

You are advised to keep a receipt


Please use your name as a reference with Mem (max 18 characters)


              

                              Mem ˽˽˽˽˽˽˽˽˽˽˽˽˽˽˽


Then please take a picture of the form or print as a pdf and send to Dave.Slape@londonwolves.com and copy to

treasurer@londonwolves.com

Ensuring that your reference is clearly shown



Click here to return to the membership page


Date

Signed



….....................................................................................................

Wolverhampton Wanderers London Supporters Club

 Application Form