Walsall Supporters' Trust

Walsall Supporters' Trust
Membership Application Form

To:
The Treasurer
Walsall Supporters' Trust
3, Hollinwell Close
Bloxwich
Walsall
WS3 3UL

Name:	Mr/Mrs/Miss/___________ __________________________________
Address:	__________________________________ __________________________________ __________________________________ __________________________________
Post Code:	__________________
Telephone No.:	__________________
E-mail address:	__________________
Date of Birth:	__________________

All information will be kept confidential for Trust purposes only

Individual Annual Membership		£3
Family (2 adults, 2 juniors)		£5
Junior/Senior Citizen Membership		£2
Life Membership		£30
Corporate Membership		£50

Please enrol me as a member of Walsall Supporters' Trust.

I enclose a cheque/postal order to the value of £_______.
(Please make payable to Walsall Supporters Society)

I understand that the sum of £1 from a member's first payment will purchase a share for that member in the WST. This will give that person an equal voting right at all WST meetings and elections, and will enable that member to stand for election to one of the offices of the Trust.

Signature_____________________