DARLINGTON SUPPORTERS’ TRUST

I WOULD LIKE TO BECOME A MEMBER OF DARLINGTON SUPPORTERS’ TRUST FOR THE NEXT 12 MONTHS

I UNDERSTAND THAT AS A MEMBER I AM ENTITLED TO ONE VOTE

NAME …………………………………………………………………………………………

ADDRESS …………………………………………………………………………………………

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POST CODE ………………………………………. DATE …………………………………

TELEPHONE NUMBER …………………………... E-MAIL …………………………………

ANNUAL MEMBERSHIP FEE £5.00 or LIFE MEMBERSHIP £100

- as paid via PayPal

So we can verify your membership payment, please include your transaction ID - as on e-mail receipt ...........................................

E-mail the details on this form to darlotrust@hotmail.com or post to: DARLINGTON SUPPORTERS’ TRUST 7 CROMARTY CLOSE DARLINGTON DL1 3RE

FOR OFFICIAL USE ONLY Membership No …………. DATE …………………….

If you would like to make a donation to the Trust please do so by sending a cheque, made payable to Darlington Supporters Trust, to the address above or by making a payment to the Trust’s bank account.

Bank details are – Nat West, High Row, Darlington Account No.: 67050042 Sort Code : 52-30-18

For more information – see the Darlington Supporters’ Trust website on www.darlotrust.co.uk