Full Name

    Address

    Postcode

    Date of Birth

    Telephone

    Email


    Have you ever been a member of another supporters club?

    lf so, which branch and when?


    Have you ever been convicted for football violence offences?

    lf yes, please give details...


    Are you a season ticket holder?

    Leeds United Customer Number



    I hereby confirm that the information provided is correct.

    *Please only press "Send" once, a short delay should be expected once the button has been pressed.

    Current membership fees are as follows
    Adults (1 8 years and over).....£7
    Juniors (under 18).....free
    Senior citizens (65 years and over).....free