Blue & Gold Membership Form

Blue & Gold Trust Official Website

Online Membership Form

You can pay your Blue & Gold Trust Membership here.

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 if applicable) Two Year Membership £18.00 (includes a £1.00 shareholding if applicable) Life membership is only offered to individuals who have been Trust members for 5 years or more. Under 16 Membership: Free (Please not application must be via the paper form as it require signature of parent/guardian) Note: Submission of this form implies that you are happy that your contact details be held on record by the Blue & Gold Supporters’ Society. The information contained in this application form will be stored electronically 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 the 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 for the period of subscription (one or two years). Please note that applications may be refused at the Trust's discretion.
To prove you are not a machine please add 12 and 13 and put the resulting number in the box*
* Mandatory field

The Blue and Gold Supporters’ Society Limited t/a The Blue & Gold Trust is registered under the Co-operative and Community Benefit Act 2014. Registered Number: 30763. Data Protection Act Registration No: Z2106419
May 2018