I apply to join Wycombe Wanderers Supporters Society Limited, known as Wycombe Wanderers Supporters Trust. I agree to abide by the rules of the Society that are in force at any time. Please complete the application form in block capitals unless indicated otherwise.

Full Name: ………………………………………………………………


Signature: ………………………..………………………………………


Date of birth (if under 18 years of age): .………………………………….
Note: Legally Society Members must be a minimum of 16 years of age and Officers of the Society a minimum of 18.


Address: ………………………………………………………………....


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Telephone Daytime: .....…………………………………........................


Evening: …………………………….......................................................


Mobile: …………………………………………………………………


Email: ..…………….………………………………………...................

Please indicate here if interested in Corporate Membership: …………….
Further details will be sent to you.

Please list below any young fans, currently under 16 years of age, who would wish to join a Junior section of the Supporters Trust when it is launched and/or who would be interested in becoming members of the Society once they reach 16 years of age.
Please list full names and dates of birth.
Please use an additional sheet of paper if necessary.


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Please complete and return the application form together with the standing order or a cheque to:
Wycombe Wanderers Supporters Trust, c/o 1 Allen Drive, Walters Ash, High Wycombe, Bucks HP14 4SS
Cheques should be made payable to Wycombe Wanderers Supporters Society Ltd.

Questions about the Supporters Trust should be directed to:
Keith Blagbrough at the above address
Alternatively telephone 01494 563697 Email: secretary@wwst.org
Website: www.wwst.org