1 Allen Drive, Walters Ash, High Wycombe, Bucks HP14 4SS
www.wwst.org
On-line Application For Membership
Please enter the data requested and
then click the submit button at the bottom of the page
to proceed to the payment options.
Please supply your email address so that we can contact you,
if necessary, regarding the information provided.
Email Address:
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I apply to join Wycombe Wanderers Supporters' Society Limited,
known as Wycombe Wanderers Supporters Trust.
Wycombe Wanderers Supporters Trust can only accept members
who agree to abide by the rules that are in force at any time and
who accept the terms and conditions under which membership is supplied.
I agree to abide by the
rules of the Society
that are in force at any time.
Agree
Disagree
I have read the
terms and conditions
which I
Accept
Decline
Title:
Mr
Mrs
Ms
Miss
Dr
Other (Specify)
Other Title (if applicable)
First Name:
Known As
If different from first name:
Middle Name(s):
Surname:
Note: Legally Society Members must be a minimum of 16 years of age
and Officers of the Society a minimum of 18.
If under 18, please enter
Date of Birth DD/MM/YYYY:
Address 1:
Address 2:
Address 3:
Town:
County:
Country:
Post Code:
Telephone Numbers and Email Address(es)
Please include up to 2 additional email addresses to the main one entered above.
Daytime telephone number:
Evening telephone number:
Mobile telephone number:
Email Address 2:
Email Address 3:
Please indicate by clicking here if potentially interested
in Corporate Membership.
We will contact you separately about this.
Since the Supporters Trust needs to raise significant funds early on to purchase shares in Wycombe Wanderers Football Club plc, in addition to annual membership both two year and three year memberships are offered for one time payments of £110 and £150 respectively.
We encourage anyone who can afford this level of subscription to take up these extended options as they provide the Supporters Trust with greater certainty of funding.
Please select the membership option that you wish to apply for.
(Click in the appropriate box.)
Three year membership:
£ 150
Two year membership:
£ 110
Annual membership by standing order:
£ 60
Annual membership by monthly standing order:
Per Month - £ 5
Annual membership by monthly standing order.
Indicate amount to be paid monthly (£.pp):
Minimum Per Month - £ 3
Please list below any young fans, currently under the age of 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.
First Name
Middle Name(s)
Surname
Date of Birth
(DD/MM/YYYY)
Please check the details entered and then click on the Submit button to proceed to the payment options including the secure online credit and debit card option.