I would like to become a member of the Wipe Your Tears Charity Goldline Lottery I understand that 70p of my £1 subscription will be a donation directly to Wipe Your Tears Charity I would like to become a member of the Wipe Your Tears Charity Lifeline Lottery I understand that £1.40 of my £2 subscription will be a donation directly to Wipe Your Tears Charity In association with Bolton Wanderers Football Club join the Wipe Your Tears Charity Lottery HELP US TO HAND OUT SMILES Your details: Your details: Your bank details: Your bank details: Name: (Ms/Miss/Mrs/Mr) Address: Postcode: Tel: Email:* Name: (Ms/Miss/Mrs/Mr) Address: Postcode: Tel: Email:* Name of bank/building society: Address: Postcode: Please pay to: 20-10-71 Barclays Bank, Bolton For credit of: BWFC Acct 83310183 Name of bank/building society: Address: Postcode: Please pay to: 20-10-71 Barclays Bank, Bolton For credit of: BWFC Acct 83366391 Commencing date: From account name: Account No: Sort code: Signature(s): Date: GOLDLINE Membership No: (for official use only) FAO Bank Manager Please quote GOLDLINE MEMBERSHIP No. with all remittance. Promoter: A.S. Dean Please return to: Wipe Your Tears Charity Goldline, Bolton Wanderers Football Club, Freepost BL2 163, Bolton BL6 6ZZ Tel: 01204 673772 Email: [email protected] Licenced with the Gambling Commission OL005176. • Wipe Your Tears Charity Registered Charity No.1103897 Commencing date: From account name: Account No: Sort code: Signature(s): Date: LIFELINE Membership No: (for official use only) FAO Bank Manager Please quote LIFELINE MEMBERSHIP No. with all remittance. Promoter: A.S. Dean Please return to: Wipe Your Tears Charity Lifeline, Bolton Wanderers Football Club, Freepost BL2 163, Bolton BL6 6ZZ Tel: 01204 673774 Email: [email protected] Licenced with the Gambling Commission OL005176 • Wipe Your Tears Charity Registered Charity No.1103897 THE SUM OF: (Please tick) THE SUM OF: (Please tick) £8.67 monthly £52.00 half yearly £104.00 yearly *By completing your email address you are giving BWFC permission to contact you. It is illegal to gamble under 16 years of age. To pay by standing order please complete the section below and return to BWFC Goldline at the address provided. *By completing your email address you are giving BWFC permission to contact you. It is illegal to gamble under 16 years of age. To pay by standing order please complete the section below and return to BWFC Lifeline at the address provided. £4.34 monthly £26.00 half yearly £52.00 yearly