Instructions

1. Print this Form.

2. Fill out this Form with your Membership Information

3. Make out a cheque out to “Liverpool Supporters Club, Toronto" - Subject: “Membership Dues”

4. Mail this form and your cheque to the mailing address below.

Toronto Supporters Branch Membership Form

Name of Member:
___________________________________________________________________________________
Postal Address:
_______________________________________ _______________________________________ _______________________________________ _______________________________________
Email Address
_______________________________________
Are you interested in Joining an Activity Committee?
Yes……………..¨	No, Thanks……………..¨
Would you like an @lfctoronto.com Email Address?
Yes……………..¨	No, Thanks……………..¨
Phone Number:
( ) ______-___________

PLEASE NOTE:

The Official Liverpool Football Supporters Club: Toronto Branch can only accept payment for Membership Dues by CHEQUE or MONEY ORDER in Canadian Funds. Membership Dues are $20 each. Make Cheques payable to Liverpool Supporters Club, Toronto

Mailing Address:

Liverpool F.C. Supporters Club: Toronto Branch
c/o Graham Wignall
P.O.Box 584
Station Q
Toronto ON M4T 2N4

WE LOOK FORWARD TO SEEING YOU OUT FOR AN EXCITING SEASON!