Trust News Lotto Officials Membership Contact Documents Donate Online Membership Form You can pay your Blue & Gold Trust Membership Online Name * Address * Town/City * County Country Post Code * Date of Birth * Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September October November December Year 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 E-mail Address * Phone Number * Mobile Number Membership Type Adult Associate Full Annual Membership £10.00 (includes a £1.00 shareholding) Associate Membership £4 (for those aged 12-16th birthday) 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 v 1.2