QUEEN OF THE SOUTH F.C. LTD. | ||
I wish to support Queen of the South FC by joining the weekly draw.
Please enrol me for ................. ticket(s) per week via the following method: |
1. Standing Order | [..........]
2. Cash to Local Agent
| [..........]
| 3. Door to Door Collector
| [..........]
| Agent (if known) ...................................
| |
Name .......................................................................................................................
Address ...................................................................................................................
| Post Code ...............................................................................................................
| Tel ..........................................................................................................................
| |
If you wish to pay by Bank Standing Order, please complete the form below. Each ticket costs £1.00 per week payable monthly/quarterly/annually. |
Monthly Amount | £4.34
Quarterly Amount
| £13.00
| Annual Amount
| £50.00
| To: Bank and Branch Name .....................................................................................
| Please pay to 82-62-13, Clydesdale Bank, 84-86 High Street, Dumfries DG1 2BJ. For credit of Queen of the South F.C. Dev. Account No. 30460449. The sum of £ ......... followed by monthly/quarterly/annual sums of £ .......... until further notice, commencing ................................................ |
From (Account Name) ............................................................................................
Account No. ...........................................................................................................
| Sort Code ...............................................................................................................
| Please quote membership No. ............................................................(Leave Blank)
| Signature ................................................................................................................
| |
Please return to Q.O.S.F.C. Ltd. Palmerston Park, Dumfries. DG2 9BA |