Membership Application Full Name Address Postcode Date of Birth Telephone Email Have you ever been a member of another supporters club? —Please choose an option—NoYes lf so, which branch and when? Have you ever been convicted for football violence offences? —Please choose an option—NoYes lf yes, please give details... Are you a season ticket holder? NoYes 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 followsAdults (1 8 years and over).....£7Juniors (under 18).....freeSenior citizens (65 years and over).....free
