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London Baggies Membership
Twitter:       @londonbaggies
Facebook:  West Bromwich Albion Supporters Club London Branch
Email:          wbalondonbaggies@gmail.com
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Email *
How did you find us? *
Would you like to be added to our email distribution list? *
First Name *
Surname *
Birthday (only if you want to share!)
CONTACT DETAILS:
Flat # / Building name
Street & number *
Area
City/Town
County
Post code *
Country (if not UK)
Phone number *
MEMBERSHIP:
Includes affiliation to WBASC.

Family memberships: Family members must be living in the same house & only the applicant will have an affiliation to WBASC.  Please list additional family members to be included below (& email addresses if you'd like them to be added to our email distribution list).

Bank transfers:
Account name:  WBASCLB
Sort code:           40-08-42
Account:             51203010

PayPal transfers:
Payment link: paypal.me/londonbaggies
or pay to: wbalondonbaggies@gmail.com
(Please make sure you choose 'Sending to a friend or to family' so PayPal do not take commission).
Membership type *
*Additional family members & email addresses:
Payment method *
Anything else you'd like to add...
A copy of your responses will be emailed to the address you provided.
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