OLSC CHARLOTTE MEMBERSHIP APPLICATION
Please fill out this form completely and click the PayPal "Subscribe" button at the bottom to pay for your membership. Someone from Leadership will get into contact with you regarding your payment and membership packet!

Thank you!

YNWA

APPLICATION DATE *
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MEMBER FIRST NAME *
Enter the first name of who will be the member. If you are purchasing this for someone else, please enter in all of their information. IMPORTANT: HOW YOU ENTER YOUR NAME HERE IS HOW YOUR NAME WILL APPEAR ON YOUR MEMBER CERTIFICATE/MEMBER CARD.
Your answer
MEMBER LAST NAME *
Enter the LAST name of who will be the member. If you are purchasing this for someone else, please enter in all of their information. IMPORTANT: HOW YOU ENTER YOUR NAME HERE IS HOW YOUR NAME WILL APPEAR ON YOUR MEMBER CERTIFICATE/MEMBER CARD.
Your answer
CONTACT EMAIL
Please enter a valid email address of the person who will be the member. If you are purchasing this for someone else, please enter in all of their information. IMPORTANT: WE WILL BE CONTACTING YOU VIA THIS EMAIL. WE CAN NOT BE HELD RESPONSIBLE IF YOU ARE NOT NOTIFIED OF ANY CLUB ACTIVITIES OR ANNOUNCEMENTS BECAUSE YOU DID NOT PROVIDE US A VALID EMAIL ADDRESS
EMAIL ADDRESS *
Your answer
OFFICIAL LIVERPOOL MEMBER NUMBER *
If you are an Official LFC member, please make sure your membership reflects that you are a member of the Charlotte Supporters Group. You may change your affiliation by logging in here: https://www.liverpoolfc.com/my-account/login. If you are not a member or don't have/know your number, just enter the number 0 (zero). You can always provide us your membership number later.
Your answer
Membership Packet
If you signed up at Valhalla & received your mebership packet, please indicate below. Otherwise, select the other one
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